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Individual

ZACHARY CROTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
2703 LEGENDS PKWY, PRATTVILLE, AL 36066-7755
(810) 210-6394
Mailing address
402 BUFORD ST, MONTGOMERY, AL 36107-2228
(810) 210-6394

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1892
AL
2255A2300X
Athletic Trainer
2601001178
MI

Other

Enumeration date
03/10/2019
Last updated
03/10/2019
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