Healthcare Provider Details

I. General information

NPI: 1508742099
Provider Name (Legal Business Name): OLIVIA DAPHNE ZINA PT. DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4725 MARKET ST BLDG A
SAN DIEGO CA
92102-4715
US

IV. Provider business mailing address

3516 WILSHIRE TER
SAN DIEGO CA
92104-6215
US

V. Phone/Fax

Practice location:
  • Phone: 619-515-2560
  • Fax:
Mailing address:
  • Phone: 720-470-2725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number308676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: