Individual
SHAWN LANNY ZIMMERLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 E KING RD, TOMAHAWK, WI 54487-1513
(715) 965-2622
Mailing address
2311 FOREST DR, TOMAHAWK, WI 54487-9356
(715) 965-2622
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1826-019
WI
Other
Enumeration date
04/02/2012
Last updated
07/11/2013
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