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NPI Code Detail

MEDICARE: ZACHARY MOWFY

MEDICARE:   ZACHARY  MOWFY
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
1225100000XPhysical Therapist
2225100000XPhysical Therapist2305216368VA

General Provider Information

NPI Number : 1417703588
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY MOWFY
Provider Business Mailing Address
First Line : 1232 COPPER STONE CIR
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-8261
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 905 BATTLEFIELD BLVD N STE 105
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-4875
Country : US
Telephone Number : 757-410-3157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2024
Last Update Date : 05/16/2024

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Directions to “ ZACHARY MOWFY ” Practice Location

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