Individual
MR. IRSHATH MOHAMED ZACKARIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
(574) 247-9442
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006954A
IN
225100000X
Physical Therapist
5501009243
MI
Other
Enumeration date
07/16/2013
Last updated
07/26/2024
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