Provider Demographics
NPI:1629037056
Name:ZIMMERMAN, JOSEPH F III (PT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:F
Last Name:ZIMMERMAN
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 CHESTNUT OAK DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448
Mailing Address - Country:US
Mailing Address - Phone:985-727-4887
Mailing Address - Fax:985-727-1980
Practice Address - Street 1:1703 N CAUSEWAY BLVD
Practice Address - Street 2:STE E, AUDUBON PHYSICAL THERAPY
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471
Practice Address - Country:US
Practice Address - Phone:985-727-1978
Practice Address - Fax:985-727-1980
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA1028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
196620Medicare ID - Type Unspecified