Healthcare Provider Details

I. General information

NPI: 1073446241
Provider Name (Legal Business Name): LOUISE ZIMMERMANN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3018 WESTFIELD AVE
BALTIMORE MD
21214-1433
US

IV. Provider business mailing address

3018 WESTFIELD AVE
BALTIMORE MD
21214-1433
US

V. Phone/Fax

Practice location:
  • Phone: 443-823-4489
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number256110
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: