Individual
ZACHARY JOSEPH MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
816 HARDING ST, LAFAYETTE, LA 70503-2320
(337) 232-3111
(337) 232-5400
Mailing address
816 HARDING ST, LAFAYETTE, LA 70503-2320
(337) 232-3111
(337) 232-5400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09911
KY
225100000X
Physical Therapist
Primary
09911
LA
Other
Enumeration date
09/19/2018
Last updated
09/26/2018
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