Individual
JEEP ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3830 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5831
(505) 424-1239
(505) 808-7278
Mailing address
10208 CHAPALA PL NE, ALBUQUERQUE, NM 87111-4922
(512) 905-6699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1796
NM
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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