Individual
MEGAN MARIE ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3550 COLLEGE AVE, SUITE A, ALTON, IL 62002-5008
(618) 465-6566
(618) 465-6573
Mailing address
3550 COLLEGE AVE, SUITE A, ALTON, IL 62002-5008
(618) 465-6566
(618) 465-6573
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004495
IL
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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