Individual
JESSICA RENEE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1065 PARKWAY ST, BERNE, IN 46711-2366
(260) 589-2127
Mailing address
8326 N 200 E, DECATUR, IN 46733-7190
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001164A
IN
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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