Individual
AMANDA SUSAN ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
36925 DETROIT RD, AVON, OH 44011
(440) 937-8480
(330) 723-1881
Mailing address
36925 DETROIT RD, AVON, OH 44011
(440) 937-8480
(330) 723-1881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04695
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC-04695
LICENSE NUMBER
OH
Enumeration date
06/19/2017
Last updated
09/28/2018
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