Provider Demographics
NPI:1821374547
Name:CHIKAZUNGA-MARTIN, NAJA (PT)
Entity Type:Individual
Prefix:MRS
First Name:NAJA
Middle Name:
Last Name:CHIKAZUNGA-MARTIN
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 1:5633 SHEER BLISS LOOP
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-2811
Mailing Address - Country:US
Mailing Address - Phone:813-996-7953
Mailing Address - Fax:
Practice Address - Street 1:5633 SHEER BLISS LOOP
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-2811
Practice Address - Country:US
Practice Address - Phone:813-996-7953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 25695225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist