Individual
MR. MICHAEL ALAN ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
101 POCONO DR STE 2AND3, MILFORD, PA 18337-9408
(570) 296-3992
Mailing address
101 POCONO DR STE 2AND3, MILFORD, PA 18337-9408
(570) 296-3992
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC007256L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019468450002
—
PA
Enumeration date
09/08/2009
Last updated
09/08/2009
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