Individual
BRIANNA RAE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1209
(262) 284-5892
Mailing address
1119 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13224-24
WI
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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