Individual
MATTHEW RYAN ZACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12523 AUBURN RD, FORT WAYNE, IN 46845-8797
(260) 204-0546
(260) 204-0547
Mailing address
1884 CYMBELINE CT, FORT WAYNE, IN 46818-9265
(260) 443-9279
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003588A
IN
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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