Provider Demographics
NPI:1518539329
Name:ZIMMERMANN, HOLLY RITA (DC)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:RITA
Last Name:ZIMMERMANN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 NANLYN TER
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-4233
Mailing Address - Country:US
Mailing Address - Phone:848-240-2793
Mailing Address - Fax:
Practice Address - Street 1:6106 BLACK HORSE PIKE STE A3
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-9703
Practice Address - Country:US
Practice Address - Phone:609-415-2821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00783600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor