Individual
MR. MATTHEW R ZORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
835 POTTS AVE, GREEN BAY, WI 54304-4535
(920) 491-9079
Mailing address
835 POTTS AVE, GREEN BAY, WI 54304-4535
(920) 491-9079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4681-026
WI
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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