Individual
TANNER JOSEPH ZACHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6330 RIVERSIDE PLAZA LN NW STE 150, ALBUQUERQUE, NM 87120-1803
(505) 312-7930
(505) 717-2818
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NM
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
03/28/2024
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