Most Relevant Information
Provider Data
| NPI Number: | 1003526385 |
| Provider Name: | ALEXIS SHAKEENA ZIMMERMAN M.S. OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | OT008699 |
Most Important Dates
| Enumeration Date: | 11/28/2022 |
| Last Updated: | 11/28/2022 |
Provider Practice Location
1130 HURRICANE SHOALS RD NE STE 2300
LAWRENCEVILLE
GA
300434871
Practice Location Phone/Fax
| Phone: | 4703236711 |
| Fax: |
Provider Mailing Location
6016 TRESTLE ST
CRESTVIEW
FL
325364379
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |