| NPI | 1104071067 |
|---|---|
| Former Name | JESSICA ANN ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017452) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2008034460) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2013-03-27 |