Zimmerman, Dale Leon
Zimmerman, Dale Leon is an individual health care provider with primary practice located at 17272 Newhope St Suite G, Fountain Valley CA 92708-4210. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Zimmerman, Dale Leon can be contacted via phone (714) 754-7268.Contact Information
Primary practice address
17272 Newhope St Suite G
Fountain Valley CA 92708-4210
Phone: (714) 754-7268
Fax: (714) 434-7042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT11062 | California |
Profile Details
| NPI number | 1639371826 |
|---|---|
| LBN Legal business name | Zimmerman, Dale Leon |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639371826 | NPPES |
| California | Other | PT11062 | PT LICENCE |
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