ZACHARY EDWARD LAKE

CRANSTON, RI
NPI1760255236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: RI  03748)
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
ZACHARY EDWARD LAKE DPT
1100 RESERVOIR AVE
CRANSTON, RI 02910-5121
Phone number: 401-785-3334
Mailing Address
ZACHARY EDWARD LAKE DPT
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number:
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