Provider Demographics
NPI:1780906149
Name:ZIMMERMAN, DEBORAH J (PT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:J
Last Name:ZIMMERMAN
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Gender:F
Credentials:PT
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Mailing Address - Street 1:8257 TRADD COURT
Mailing Address - Street 2:CHILDWORKS THERAPY, LLC
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-7297
Mailing Address - Country:US
Mailing Address - Phone:704-575-2670
Mailing Address - Fax:704-553-7587
Practice Address - Street 1:4405 SARDIS CHURCH ROAD
Practice Address - Street 2:CHILDWORKS THERAPY, LLC
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-7998
Practice Address - Country:US
Practice Address - Phone:704-575-2670
Practice Address - Fax:704-882-7645
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
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Provider Licenses
StateLicense IDTaxonomies
NC57442251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics