Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 001737 | NY |
NPI | 1174995625 |
---|---|
Provider Name | Adrienne Zimmerman |
First Address | Yonkers, NY 10701-4006 |
Second Address | Yonkers, NY 10701-4006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2015 |
Last Update Date | 23/10/2015 |