Individual
MR. ROBERT ZACHARY WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1390 KING TREE DR, DAYTON, OH 45405-1401
(937) 279-3711
Mailing address
1465 WAYNE ST, APT C, TROY, OH 45373-2792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05824
OH
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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