Individual
ZACHARY KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 GAUTIER ST, TUSKEGEE, AL 36083-2600
(334) 727-2903
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5859
AL
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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