Provider Demographics
NPI:1619201886
Name:ZIMMERMAN, CATHERINE DODSON (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:DODSON
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 HARRY HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:24701-9473
Mailing Address - Country:US
Mailing Address - Phone:304-327-6524
Mailing Address - Fax:304-327-6524
Practice Address - Street 1:146 HARRY HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701-9473
Practice Address - Country:US
Practice Address - Phone:304-327-6524
Practice Address - Fax:304-327-6524
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004350225X00000X
WV1198225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist