| Lacey Ann Zimmermann, OTR/L | |
|
4554 Forestdale Dr Unit E26, Park City, UT 84098-1394 | |
| (435) 400-4064 | |
| Not Available |
| Full Name | Lacey Ann Zimmermann |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4554 Forestdale Dr Unit E26, Park City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255900346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 12326180-4201 (Utah) | Primary |
| Provider Name | Shriners Hospitals For Children |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396187282 PECOS PAC ID: 9133031933 Enrollment ID: O20140703000851 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Ann Zimmermann, OTR/L N15w30191 Timber Brook Rd, Pewaukee, WI 53072-6100 Ph: (262) 344-4077 | Lacey Ann Zimmermann, OTR/L 4554 Forestdale Dr Unit E26, Park City, UT 84098-1394 Ph: (435) 400-4064 |
Mrs. Stephanie Marie Rudisill, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 214-575-9820 Fax: 214-575-9846 | |
Megan B Williams, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015 Sidewinder Dr, Park City, UT 84060 Phone: 435-645-9095 Fax: 435-645-9092 | |
Stephanie Anne Polukoff, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4910 Bear View Dr, Park City, UT 84098 Phone: 435-640-9001 | |
Bounce Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6318 View Dr, Park City, UT 84098 Phone: 435-655-1210 | |
Darrell Larry, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 312-301-0411 | |
Nichole Bernhard, O.T.R. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7359 |