Provider Demographics
NPI:1922175306
Name:ZIMMERMAN, CINDY S (PT)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:S
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:S
Other - Last Name:TREITMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5141 NE 30TH TER # 101
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-7834
Mailing Address - Country:US
Mailing Address - Phone:754-264-3983
Mailing Address - Fax:561-417-9564
Practice Address - Street 1:5141 NE 30TH TER
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-7834
Practice Address - Country:US
Practice Address - Phone:754-264-3983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist