Individual
KELSEY-ANN ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 DAVEGA DR STE A, LEXINGTON, SC 29073-9699
(803) 939-0547
Mailing address
100 DEERCHASE LN, LEXINGTON, SC 29072-1819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3441
SC
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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