Provider Demographics
NPI:1184780520
Name:BOJIC, LJILJANA L (DPT)
Entity type:Individual
Prefix:
First Name:LJILJANA
Middle Name:L
Last Name:BOJIC
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24007 EDMONDS WAY
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-9161
Mailing Address - Country:US
Mailing Address - Phone:206-747-9247
Mailing Address - Fax:
Practice Address - Street 1:24007 EDMONDS WAY
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-9161
Practice Address - Country:US
Practice Address - Phone:425-224-2476
Practice Address - Fax:425-224-2612
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00010335225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist