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1922400704
ZACHARY E WALSTON
SMYRNA, GA
NPI
1922400704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011588)
Enumeration Date
2014-09-23
Last Update Date
2014-09-23
Business Address
ZACHARY E WALSTON DPT
4849 S COBB DR SE SUITE 121
SMYRNA, GA 30080-7145
Phone number: 866-464-3878
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Mailing Address
ZACHARY E WALSTON DPT
PO BOX 242278
MONTGOMERY, AL 36124-2278
Phone number: 334-396-3273
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