Provider Demographics
NPI:1740566025
Name:ZIMMERMAN, MONICA JON (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:JON
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 OVERLAND PSGE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-5841
Mailing Address - Country:US
Mailing Address - Phone:919-929-8728
Mailing Address - Fax:919-929-8729
Practice Address - Street 1:2502 OVERLAND PSGE
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-5841
Practice Address - Country:US
Practice Address - Phone:919-929-8728
Practice Address - Fax:919-929-8729
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2502225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist