Provider Demographics
NPI:1023219029
Name:ZMIJA, ERIN M (P1)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:M
Last Name:ZMIJA
Suffix:
Gender:F
Credentials:P1
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:STANSBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AT
Mailing Address - Street 1:1519 132ND ST SE STE A
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-7203
Mailing Address - Country:US
Mailing Address - Phone:425-357-9380
Mailing Address - Fax:425-357-9382
Practice Address - Street 1:1519 132ND ST SE STE A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-7203
Practice Address - Country:US
Practice Address - Phone:425-357-9380
Practice Address - Fax:425-357-9382
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT5601225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAT5601OtherPHYSICAL THERAPY ASSISTAN
WAP160169032OtherPHYSICAL THERAPIST ASSISTANT LICENSE