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NPI Code Detail

MEDICARE: MEGHAN ZIMMER OT

MEDICARE: MEGHAN ZIMMER OT
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
1225X00000XOccupational Therapist4970-26WI

General Provider Information

NPI Number : 1629348032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN ZIMMER OT
Provider Business Mailing Address
First Line : 9737 S 27TH ST APT 103
Second Line :
City : FRANKLIN
State : WI
Zip : 53132-9796
Country : US
Telephone Number : 414-899-0082
Fax Number :
Provider Business Practice Location Address
First Line : 3109 MOUNT PLEASANT ST
Second Line :
City : RACINE
State : WI
Zip : 53404-1511
Country : US
Telephone Number : 262-635-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2012
Last Update Date : 10/25/2025

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