Provider Demographics
NPI:1033349717
Name:ZIMM, TAL JOSEPH (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:TAL
Middle Name:JOSEPH
Last Name:ZIMM
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7533 169TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1337
Mailing Address - Country:US
Mailing Address - Phone:718-633-2605
Mailing Address - Fax:347-789-7843
Practice Address - Street 1:6002 NEW UTRECHT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5026
Practice Address - Country:US
Practice Address - Phone:718-633-2605
Practice Address - Fax:347-789-7843
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013877-1225XH1300X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHuman Factors