| Doctor Name: | RICHARD C ZACCARO |
| NPI Number: | 1225279425 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 4427 |
| Business Practice Address: | 2234 W Houston St Ste B Broken Arrow, OK - 740123519 |
| Business Phone Number: | 9182591888 |
| Business Fax Number: | 9182513725 |
| Mailing Address: | 1609 N Strong Blvd, MCALESTER |
| State: | OK |
| Postal Code: | 745013839 |
| Phone Number: | 9184261322 |
| Fax Number: | 9184261323 |
| NPI Enumeration Date: | 03/18/2009 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4427 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |