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Individual

MICHAEL J. ZOGHBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
341 GREENO ROAD, FAIRHOPE, AL 36532
(251) 928-2401
(251) 928-5099
Mailing address
PO BOX 1186, FAIRHOPE, AL 36533-1186
(251) 928-2401
(251) 928-5099

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTH500
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051077609
BCBS
AL
05
890006670
AL
Enumeration date
07/12/2005
Last updated
02/18/2009
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