Individual
DOROTHY LEE ZIMMER
Active
Individual
DOROTHY LEE ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6556
TN
225100000X
Physical Therapist
PT7294
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
05
—
247395015A
—
GA
01
—
3156797
BCBST - GROUP NUMBER
TN
05
—
5441623
—
TN
01
—
940007
BCBS GA
GA
Enumeration date
05/26/2006
Last updated
11/19/2010
Update your record
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