Individual
MR. JESSE MICHAEL ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
851 W LUMSDEN RD, BRANDON, FL 33511-6280
(813) 661-8998
Mailing address
11423 DRIFTING LEAF DR, RIVERVIEW, FL 33579-0002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29393
FL
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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