| NPI | 1851609457 |
|---|---|
| Former Name | AMANDA S ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 012027) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01367600) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2018-07-25 |