Individual
EVAN LEE ZACHARIAS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2000
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2181
ND
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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