Provider Demographics
NPI:1184289480
Name:THOMAS, ZACHARY HARDING (DPT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:HARDING
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 ASHLEY RIVER RD APT 506
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-8013
Mailing Address - Country:US
Mailing Address - Phone:812-629-6862
Mailing Address - Fax:
Practice Address - Street 1:7 S ALLIANCE DR STE 102A
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-7271
Practice Address - Country:US
Practice Address - Phone:803-569-2303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist