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Individual

MELISSA E ZIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2300 DULANEY VALLEY RD, LUTHERVILLE TIMONIUM, MD 21093-2700
(410) 252-4500
Mailing address
6024 CROSS COUNTRY BLVD, BALTIMORE, MD 21215-3819
(702) 468-1385

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5469
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A5469
MD
Enumeration date
02/25/2021
Last updated
02/25/2021
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