Individual
ZACHARY KETCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14235 WOODS EDGE RD, SOUTH CHESTERFIELD, VA 23834-6019
(804) 400-0886
Mailing address
14235 WOODS EDGE RD, SOUTH CHESTERFIELD, VA 23834-6019
(804) 400-0886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604533
VA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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