Individual
NANCY M ZACHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
1800 N FONDA RD, AVON PARK, FL 33825-9375
(863) 452-5288
Mailing address
1800 N FONDA RD, AVON PARK, FL 33825-9375
(863) 452-5288
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
07/09/2007
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