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NPI Code Detail

MEDICARE: DANIELLE ZIMMERMAN

MEDICARE:   DANIELLE  ZIMMERMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2218MD

General Provider Information

NPI Number : 1639877012
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ZIMMERMAN
Provider Business Mailing Address
First Line : 305 COLLEGE PKWY
Second Line :
City : ARNOLD
State : MD
Zip : 21012-2903
Country : US
Telephone Number : 410-647-0015
Fax Number :
Provider Business Practice Location Address
First Line : 305 COLLEGE PKWY
Second Line :
City : ARNOLD
State : MD
Zip : 21012-2903
Country : US
Telephone Number : 410-647-0015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2023
Last Update Date : 02/16/2023

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Directions to “ DANIELLE ZIMMERMAN ” Practice Location

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