Most Relevant Information
Provider Data
| NPI Number: | 1003550997 |
| Provider Name: | ZACHARY RONALD SECOR OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 026632-01 |
Most Important Dates
| Enumeration Date: | 04/26/2022 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
33-57 HARRISON ST
JOHNSON CITY
NY
137902174
Practice Location Phone/Fax
| Phone: | 6077636000 |
| Fax: |
Provider Mailing Location
33 LEWIS RD STE 2
BINGHAMTON
NY
139051040
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |