Individual
ALYCE MIRINDA ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
503 BENZEL AVE SW, MADELIA, MN 56062-1603
(218) 205-5030
Mailing address
41077 474TH AVE, PERHAM, MN 56573-8980
(218) 205-5030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102834
MN
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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