MEDICARE: CHRISTINE 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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1528703279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ZIMMERMAN

Provider Business Mailing Address
First Line	:	1345 ENTERPRISE DR
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-5964
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CORPORATE CENTER DR STE 115
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-4332
Country	:	US
Telephone Number	:	412-299-0704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	04/27/2022

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Directions to “ CHRISTINE ZIMMERMAN ” Practice Location

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