Individual
ZACKARY DAVID STRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L, CPAM
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-4640
Mailing address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-4640
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1004
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6961
—
UT
Enumeration date
11/15/2006
Last updated
06/04/2013
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