Provider Demographics
NPI:1134252752
Name:ZUNIGA, JULIA (MPT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11711 NE 12TH ST
Mailing Address - Street 2:#3A
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2461
Mailing Address - Country:US
Mailing Address - Phone:425-450-9474
Mailing Address - Fax:425-452-0704
Practice Address - Street 1:77682 COUNTRY CLUB DR
Practice Address - Street 2:STE B
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-0478
Practice Address - Country:US
Practice Address - Phone:760-345-3087
Practice Address - Fax:760-345-6852
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist