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General NPI Number Information
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NPI Number | 1730794967
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Entity Type | Organization
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Legal Business Name | LZ PT AND WELLNESS, LLC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 8375 JUMPERS HOLE RD STE 202
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1271
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Country | US
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Telephone | 410-299-7128
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Fax |
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Provider Business Mailing Address
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Address Line | 502 OAKSHADE CT STE 202A
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1472
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Country | US
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Telephone | 410-299-7128
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/PRESIDENT
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Name | DR. LISA ZIMMERMAN
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Credential | DPT, CMTPT
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Telephone | 410-299-7128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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