Individual
COLLIN D ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1088 W. PRAIRIE AVE., COEUR D'ALENE, ID 83815-8741
(208) 772-6609
(208) 664-4313
Mailing address
1450 NORTHWEST BLVD., SUITE 106, COEUR D'ALENE, ID 83814-5605
(208) 667-6264
(208) 664-4313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5983
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-5983
STATE OF IDAHO
ID
Enumeration date
10/01/2018
Last updated
01/18/2022
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