Individual
MR. THOMAS NEIL ZACHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
770 N 075 E, LAGRANGE, IN 46761-9359
(260) 463-7445
Mailing address
2095 N BLACK OAK DR, ANGOLA, IN 46703-8193
(260) 665-8327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000319A
IN
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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