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Individual

PATRICK J ZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
319 DEINHARD LN, MCCALL, ID 83638-4703
(208) 634-8517
(208) 292-2817
Mailing address
316 RIO VISTA BLVD, MCCALL, ID 83638-4302
(208) 634-8517
(208) 634-5763

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
557
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805164900
ID
Enumeration date
11/10/2006
Last updated
03/13/2020
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