Most Relevant Information
Provider Data
| NPI Number: | 1003217316 |
| Provider Name: | ZACHARY HOLLIS DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 011563 |
Most Important Dates
| Enumeration Date: | 09/06/2014 |
| Last Updated: | 09/06/2014 |
Provider Practice Location
575 PROFESSIONAL DR STE 370
LAWRENCEVILLE
GA
300463334
Practice Location Phone/Fax
| Phone: | 6782055420 |
| Fax: |
Provider Mailing Location
9209 LESWOOD ST
ORLANDO
FL
328258059
Provider Mailing Phone/Fax
| Phone: | 4074937590 |
| Fax: |