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Individual

LACEY ANN ZIMMERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4554 FORESTDALE DR UNIT E26, PARK CITY, UT 84098-1394
(435) 400-4064
Mailing address
N15W30191 TIMBER BROOK RD, PEWAUKEE, WI 53072-6100
(262) 344-4077

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12326180-4201
UT

Other

Enumeration date
06/22/2021
Last updated
06/22/2021
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