Individual
TERESA ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 MAIN ST, LAUREL, MD 20707-4130
(240) 602-9669
Mailing address
PO BOX 1432, LAUREL, MD 20725-1432
(240) 602-9669
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
401482
MD
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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