| Doctor Name: | MR. BOBBY KOREZ ZACHARIAH |
| NPI Number: | 1336400886 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2305205659 |
| Business Practice Address: | 39150 Dequindre Rd Suite 400 A Sterling Heights, MI - 483106989 |
| Business Phone Number: | 2488258483 |
| Business Fax Number: | |
| Mailing Address: | 54626 Morningside Dr, SHELBY TOWNSHIP |
| State: | MI |
| Postal Code: | 483166001 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2012 |
| NPI Last Update Date: | 05/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305205659 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| 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 |