Individual
RICHARD C ZACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2234 W HOUSTON ST STE B, BROKEN ARROW, OK 74012-3519
(918) 259-1888
(918) 251-3725
Mailing address
1609 N STRONG BLVD, MCALESTER, OK 74501-3839
(918) 426-1322
(918) 426-1323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4427
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200330730A
—
OK
Enumeration date
03/18/2009
Last updated
05/08/2015
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