Basic Information
| Provider Information | |||||||||
| NPI: | 1467639765 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YOUNG | ||||||||
| FirstName: | ZAHRA | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | D.P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17692 1ST AVE. SOUTH | ||||||||
| Address2: | |||||||||
| City: | NORMANDY PARK | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98148 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062410477 | ||||||||
| FaxNumber: | 2062410538 | ||||||||
| Practice Location | |||||||||
| Address1: | 17692 1ST AVE. SOUTH | ||||||||
| Address2: | |||||||||
| City: | NORMANDY PARK | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98148 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062410477 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2008 | ||||||||
| LastUpdateDate: | 11/07/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT00010758 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2251X0800X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | 2251S0007X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
No ID Information.