Provider Demographics
NPI:1285856849
Name:ZIEMBA, TAMMY LYNNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:LYNNE
Last Name:ZIEMBA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:TAMMY
Other - Middle Name:LYNNE
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:17 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054
Mailing Address - Country:US
Mailing Address - Phone:856-866-7813
Mailing Address - Fax:
Practice Address - Street 1:551 W. LANCASTER AVENUE
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041
Practice Address - Country:US
Practice Address - Phone:610-525-4000
Practice Address - Fax:610-526-6742
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00554900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist