Individual
ZACHARY PAVLICHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
75 W WESMARK BLVD, SUMTER, SC 29150-1955
(803) 938-5395
Mailing address
250 6TH ST E, 612, SAINT PAUL, MN 55101-4911
(715) 220-0857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
06/13/2019
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