Provider Demographics
NPI:1710176144
Name:ARMISHAW, MA. ZHAR LENNA JAPITANA (PT)
Entity Type:Individual
Prefix:MISS
First Name:MA. ZHAR LENNA
Middle Name:JAPITANA
Last Name:ARMISHAW
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 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:2333 POST DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-1979
Practice Address - Country:US
Practice Address - Phone:317-890-7700
Practice Address - Fax:317-890-4400
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05011895A225100000X
FL23648225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist