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Individual

KIRK ZIMMERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1907 CONGRESS ST, SAINT LOUIS, MO 63118-1705
(314) 565-8853
Mailing address
1907 CONGRESS ST, SAINT LOUIS, MO 63118-1705

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2018003111
MO
224Z00000X
Occupational Therapy Assistant
Primary
OTA-161
HI

Other

Enumeration date
09/23/2020
Last updated
09/23/2020
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