Individual
ZACKARY BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 MEMORIAL AVE, LEWISTON, ME 04240-5127
(207) 344-0900
Mailing address
5 MEMORIAL AVE, LEWISTON, ME 04240-5127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4556
ME
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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