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NPI Code Detail

MEDICARE: DAPHNE ZIMMER DICHARRY P.T.

MEDICARE: DAPHNE ZIMMER DICHARRY 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 Therapist08551LA

General Provider Information

NPI Number : 1346674405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAPHNE ZIMMER DICHARRY P.T.
Provider Business Mailing Address
First Line : 8080 BLUEBONNET BLVD
Second Line : SUITE 1000
City : BATON ROUGE
State : LA
Zip : 70810-7827
Country : US
Telephone Number : 225-924-2424
Fax Number : 225-408-7984
Provider Business Practice Location Address
First Line : 625 S BURNSIDE AVE
Second Line : UNIT 9
City : GONZALES
State : LA
Zip : 70737-3400
Country : US
Telephone Number : 225-644-8510
Fax Number : 225-644-9736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2013
Last Update Date : 08/26/2013

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Directions to “ DAPHNE ZIMMER DICHARRY P.T.” Practice Location

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