Individual
MR. JERRY L ZOMERMAAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1224 S MAIN AVE, SIOUX CENTER, IA 51250-1230
(712) 722-0055
(712) 722-0059
Mailing address
PO BOX 274, SIOUX CENTER, IA 51250-0274
(712) 722-0055
(712) 722-0059
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
02048
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1140772
—
IA
01
—
48784
WELLMARK BCBS
IA
Enumeration date
06/25/2006
Last updated
07/08/2007
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