Individual
AMANDA ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2923
(502) 633-1007
Mailing address
82 RIDGE POINT DR, BRANDENBURG, KY 40108-9647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007915
KY
Other
Enumeration date
06/05/2021
Last updated
09/09/2021
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