Individual
MISS JESSICA S ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2831 NEW HARTFORD RD, RIDGECREST MEDICAL PARK, OWENSBORO, KY 42303-1320
(270) 926-4100
(270) 684-4678
Mailing address
2831 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 926-4100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305207933
VIRGINIA STATE LICENSE NUMBER
VA
Enumeration date
08/12/2013
Last updated
12/20/2017
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