Provider Demographics
NPI:1013181544
Name:ZIMMERMAN, JOYLIN CHRISTINA (PT, CMPT)
Entity Type:Individual
Prefix:MRS
First Name:JOYLIN
Middle Name:CHRISTINA
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:PT, CMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 WYMORE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751
Mailing Address - Country:US
Mailing Address - Phone:407-628-9436
Mailing Address - Fax:407-628-9437
Practice Address - Street 1:549 WYMORE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751
Practice Address - Country:US
Practice Address - Phone:407-628-9436
Practice Address - Fax:407-628-9437
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22053225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist