Provider Demographics
NPI:1871471516
Name:WASHINGTON, ZANDRIA
Entity type:Individual
Prefix:
First Name:ZANDRIA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18480 TAPESTRY LAKE CIR APT 101
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-4629
Mailing Address - Country:US
Mailing Address - Phone:678-761-2804
Mailing Address - Fax:
Practice Address - Street 1:18480 TAPESTRY LAKE CIR APT 101
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-4629
Practice Address - Country:US
Practice Address - Phone:678-761-2804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer