NPI 1023594355

Cody Reese Zimmer, OTDOTRL

Practitioner Occupational Therapist Fort Wayne, IN

Practice location

Address: 300 E Washington Blvd, Fort Wayne, IN 46802-3124
Phone: (260) 422-5511
Mailing address: 525 W 500 N, Peru, IN 46970-8637

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 31006637A (IN)

Other Occupational Therapist providers in Indiana →

Registry record

NPI: 1023594355
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2018
Record last updated: 19 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.