Provider Demographics
NPI:1013581628
Name:ZHANG, YUANMIN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:YUANMIN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E MAIN ST UNIT 320
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5205
Mailing Address - Country:US
Mailing Address - Phone:858-888-6673
Mailing Address - Fax:
Practice Address - Street 1:2 E MAIN ST UNIT 320
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5205
Practice Address - Country:US
Practice Address - Phone:858-888-6673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300206225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist