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NPI Code Detail

MEDICARE: MR. ZACHARY DEAN HARMON DPT

MEDICARE: MR. ZACHARY DEAN HARMON DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist0014353CO
2225100000XPhysical TherapistPTL.0014353CO

General Provider Information

NPI Number : 1558818849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ZACHARY DEAN HARMON DPT
Provider Business Mailing Address
First Line : 1020 ROBBIE VW
Second Line : APT 2126
City : COLORADO SPRINGS
State : CO
Zip : 80920-8227
Country : US
Telephone Number : 970-691-7828
Fax Number :
Provider Business Practice Location Address
First Line : 3854 VILLAGE SEVEN RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-2801
Country : US
Telephone Number : 719-574-8761
Fax Number : 719-574-8236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2016
Last Update Date : 03/08/2017

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Directions to “ MR. ZACHARY DEAN HARMON DPT” Practice Location

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