Individual
MS. INDY MARIE ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
810N INDUSTRIAL AVE, COPPERAS COVE, TX 76522-1722
(254) 547-9552
Mailing address
810N INDUSTRIAL AVE, COPPERAS COVE, TX 76522-1722
(254) 547-9552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2126196
TX
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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