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Zachary Koba, PTA
NPI 1891368270 · on the registry since 2021
Practice
- Address
- 10930 W Potter Rd Ste C
Wauwatosa, WI 53226 - Phone
- (414) 522-9000
- Organisation at this address
- Aretas01, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Additional practice sites
- 813 N Mayfair Rd, Wauwatosa, WI
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin