Provider Demographics
NPI:1962162198
Name:VOSS, ZACHARY JON (PT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:JON
Last Name:VOSS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 80964
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70598-0964
Mailing Address - Country:US
Mailing Address - Phone:337-233-7977
Mailing Address - Fax:337-233-7978
Practice Address - Street 1:9462 ELLERBE RD STE 200
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-7466
Practice Address - Country:US
Practice Address - Phone:318-489-4298
Practice Address - Fax:318-606-5351
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist