Individual
TRICIA LEE ZIMONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2792 SUMMERSET CIR, SUAMICO, WI 54173-8013
(920) 544-4277
Mailing address
2792 SUMMERSET CIR, SUAMICO, WI 54173-8013
(920) 544-4277
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1611-019
WI
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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