Provider Demographics
NPI:1710153580
Name:ZIMMERMAN, HANNAH (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 16TH ST W STE 100
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-4675
Mailing Address - Country:US
Mailing Address - Phone:701-225-0767
Mailing Address - Fax:701-225-7123
Practice Address - Street 1:1000 E CALGARY AVE STE 1
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-5648
Practice Address - Country:US
Practice Address - Phone:701-355-6044
Practice Address - Fax:701-355-6299
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1053225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist