Individual
ZACH WILLIAM MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1751 VETERANS DR STE 300, FLORENCE, AL 35630-4930
(256) 764-9304
(256) 764-9343
Mailing address
1751 VETERANS DR STE 300, FLORENCE, AL 35630-4930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10142
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260497
—
AL
01
—
PTH10142
LICENSE
AL
Enumeration date
12/30/2020
Last updated
09/01/2021
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