Provider Demographics
NPI:1669662276
Name:SAYAS-ZMIRSKA, MARIA CRESENCIA (PT)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:CRESENCIA
Last Name:SAYAS-ZMIRSKA
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 1:3811 SW 52ND ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-8207
Mailing Address - Country:US
Mailing Address - Phone:954-967-5624
Mailing Address - Fax:
Practice Address - Street 1:3811 SW 52ND ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-8207
Practice Address - Country:US
Practice Address - Phone:954-967-5624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2010-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 007870225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist