Individual
CODY REESE ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
300 E WASHINGTON BLVD, FORT WAYNE, IN 46802-3124
(260) 422-5511
Mailing address
525 W 500 N, PERU, IN 46970-8637
(765) 226-0471
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006637A
IN
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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