Individual
ZACHARY KOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10930 W POTTER RD STE C, WAUWATOSA, WI 53226-3450
(414) 522-9000
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2207-19
WI
Other
Enumeration date
07/22/2021
Last updated
11/23/2021
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