Provider Demographics
NPI:1699051359
Name:ZIMBELMAN, COREY BETH (DPT)
Entity type:Individual
Prefix:
First Name:COREY
Middle Name:BETH
Last Name:ZIMBELMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:444 BRUCE STREET
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-3450
Mailing Address - Country:US
Mailing Address - Phone:530-841-6256
Mailing Address - Fax:530-842-0232
Practice Address - Street 1:1852 FORT JONES ROAD
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097
Practice Address - Country:US
Practice Address - Phone:530-841-6211
Practice Address - Fax:619-422-4153
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT #37894225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist