Provider Demographics
NPI:1124779921
Name:ZIEMER GARAY, ZOE MILLYETTE (MASTER DEGREE)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:MILLYETTE
Last Name:ZIEMER GARAY
Suffix:
Gender:F
Credentials:MASTER DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 PARADISE DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2014
Mailing Address - Country:US
Mailing Address - Phone:787-466-3654
Mailing Address - Fax:407-565-8065
Practice Address - Street 1:4731 NATHAN HALE BLVD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-1831
Practice Address - Country:US
Practice Address - Phone:407-698-9815
Practice Address - Fax:407-565-8065
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist