Individual
ZACHARY J EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2009 S MAIN ST, MOSCOW, ID 83843-8913
(208) 618-8430
Mailing address
947 NW HOQUIAM CT, CAMAS, WA 98607-8154
(360) 852-2466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8244
ID
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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