Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PTL.0012924 | CO |
NPI | 1003204298 |
---|---|
Provider Name | Dr. Zachary Sean Varsos |
First Address | Highlands Ranch, CO 80129-2333 |
Second Address | Highlands Ranch, CO 80129-2333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2014 |
Last Update Date | 04/04/2017 |