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NPI Code Detail

MEDICARE: MISS AMY ZIMMERMAN P.T.

MEDICARE: MISS AMY ZIMMERMAN P.T.
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
1225100000XPhysical TherapistDAPT001205PA

General Provider Information

NPI Number : 1336177146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AMY ZIMMERMAN P.T.
Provider Business Mailing Address
First Line : 4403 CONGRESS CT
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-3735
Country : US
Telephone Number : 215-393-1931
Fax Number :
Provider Business Practice Location Address
First Line : 730 S BROAD ST
Second Line :
City : LANSDALE
State : PA
Zip : 19446-5211
Country : US
Telephone Number : 215-855-9871
Fax Number : 215-855-8748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 07/08/2007

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Directions to “ MISS AMY ZIMMERMAN P.T.” Practice Location

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