| NPI | 1205427689 |
|---|---|
| Other Name | ZACH MAYO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01939100) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01939100) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |