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Individual

MICHAEL THOMAS ZINGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
98158 W BENHAM LN STE 10, BROOKINGS, OR 97415-9546
(541) 286-5516
(541) 843-1234
Mailing address
PO BOX 4939, BROOKINGS, OR 97415-0092
(541) 286-5516
(541) 843-1234

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19213
CA
225100000X
Physical Therapist
Primary
3893
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063383
OR
05
PT0192130
CA
Enumeration date
07/28/2006
Last updated
06/20/2022
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