National Provider Identifier

Diane Tessier Zimmerman, PT

Diane Tessier Zimmerman, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 421-2185.

NPI 1225311244Fairport, NYPhysical Therapist

Profile Overview

NPI
1225311244
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 26, 2011
Last Updated
September 19, 2012

Practice Location

  • 38 West Church St
  • Fairport, NY 14450

Phone: (585) 421-2185

Mailing Address

  • 1173 Erie Street RD
  • Macedon, NY 14502-9729

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1225311244
Entity Type
Individual
Last Name
Zimmerman
First Name
Diane
Middle Name
Tessier
Name Prefix
MS.
Credential
PT
Mailing Street Address
1173 Erie Street RD
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-9729
Mailing Country
US
Mailing Phone
(315) 986-3404
Practice Street Address
38 West Church St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 421-2185
Enumeration Date
September 26, 2011
Last Updated
September 19, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)