Individual
ZACKERY J KARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2 CHARLES BLVD, GUILDERLAND, NY 12084-9577
(518) 456-5669
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1794
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
027975
NY
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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