Most Relevant Information
Provider Data
  | NPI Number: | 1003293432 | 
| Provider Name: | SUSAN COLGAN ZIMMERMAN | 
| Entity Type: | Individual | 
| Taxonomy Code: | 225200000X | 
| Specialty: | Physical Therapy Assistant | 
| License Number: | PTA002562 | 
Most Important Dates
  | Enumeration Date: | 05/06/2015 | 
| Last Updated: | 05/06/2015 | 
Provider Practice Location
  815 ATLANTA RD
      
      CUMMING
      GA
      300402707
  Practice Location Phone/Fax
      | Phone: | 6789470952 | 
| Fax: | 6788473579 | 
Provider Mailing Location
  3635 HORIZON CT
      
      CUMMING
      GA
      300415761
  Provider Mailing Phone/Fax
      | Phone: | 6784576947 | 
| Fax: |