Individual
MRS. CHRISTINE MAE ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
634 E AYER ST, IRONWOOD, MI 49938-2206
(906) 932-2006
Mailing address
431 WISCONSIN AVE, ONTONAGON, MI 49953-1344
(906) 884-2354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1673-19
WI
225200000X
Physical Therapy Assistant
Primary
5502000988
MI
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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