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Individual

ZACHARY BRUCE KULZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT, PT

Contact information

Practice address
206 OLD CORINTH RD, PETAL, MS 39465-2932
(601) 583-9464
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-1550
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6438
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04704015
MS
Enumeration date
05/24/2018
Last updated
02/28/2025
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