Individual
STEPHEN TODD ZACHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4615 HIGHWAY 80 STE 9, HAUGHTON, LA 71037-7480
(318) 615-3003
Mailing address
3203 HANOVER CT, BOSSIER CITY, LA 71111-8167
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
09079R
LA
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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