Individual
MATHEW ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
211 DAVIS DRIVE, WEST PLAINS, MO 65775
(417) 256-0798
Mailing address
211 DAVIS DRIVE, WEST PLAINS, MO 65775
(417) 256-0798
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2001020614
MO
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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