Individual
NAHUM OLIVA ZACARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
226 MILL HILL AVE, BRIDGEPORT, CT 06610-2826
(203) 336-7301
Mailing address
184 JEWETT AVE, BRIDGEPORT, CT 06606-2824
(203) 727-0326
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001058
CT
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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