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1023594355
CODY REESE ZIMMER
FORT WAYNE, IN
NPI
1023594355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31006637A)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
CODY REESE ZIMMER OTD, OTR/L
300 E WASHINGTON BLVD
FORT WAYNE, IN 46802-3124
Phone number: 260-422-5511
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Mailing Address
CODY REESE ZIMMER OTD, OTR/L
525 W 500 N
PERU, IN 46970-8637
Phone number: 765-226-0471
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