Shannon Zimmer

NPI #1013322007 in La Grange, Illinois

Provider Information

NPI Number: 1013322007
Entity Type: Individual
Name: Shannon Zimmer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 27, 2014
Last Updated: Jun 27, 2014

Practice Location

Address: 54 BLUFF AVE
City: La Grange
State: Illinois
ZIP Code: 60525-3678
Phone: (708) 601-6412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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