Individual
MATT ZACHARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11055 S MEMORIAL DR, TULSA, OK 74133-7362
(918) 663-8672
Mailing address
11055 S MEMORIAL DR, TULSA, OK 74133-7362
(918) 663-8672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3049
OK
Other
Enumeration date
08/30/2006
Last updated
06/16/2008
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