Individual
ALYSSA K ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01260739
MEDICARE RAILROAD
IL
Enumeration date
11/27/2011
Last updated
02/24/2015
Update your record
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