Provider Demographics
NPI:1043836489
Name:ZAMANIKIA, ELMIRA (PT)
Entity Type:Individual
Prefix:
First Name:ELMIRA
Middle Name:
Last Name:ZAMANIKIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 89TH ST APT 13
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-1805
Mailing Address - Country:US
Mailing Address - Phone:408-663-8660
Mailing Address - Fax:
Practice Address - Street 1:1489 WEBSTER ST STE 210
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3760
Practice Address - Country:US
Practice Address - Phone:837-341-5346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist