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Individual

ZACHARY T WINCHESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3860 VOGEL RD, ARNOLD, MO 63010-3776
(636) 287-3000
Mailing address
14515 N OUTER 40 RD STE 110, CHESTERFIELD, MO 63017-5746
(314) 434-8680
(314) 453-9985

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2017022198
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017022198
PT LICENSE
MO
Enumeration date
06/29/2017
Last updated
06/30/2017
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