Individual
MRS. DONNA ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
45 NORTH STATION PLAZA, GREAT NECK, NY 11021
(516) 482-2650
Mailing address
12 SOUNDVIEW AVE, EAST NORTHPORT, NY 11731-1219
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010058
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010058
OCCUPATIONAL THERAPY LICENSE
NY
Enumeration date
09/18/2012
Last updated
09/18/2012
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