Doctor Name: | MR. MARK A ZAMORA |
NPI Number: | 1891874913 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT 25107 |
Business Practice Address: | 1429 College Ave Suite H Modesto, CA - 953504057 |
Business Phone Number: | 2095222673 |
Business Fax Number: | 2095222955 |
Mailing Address: | 1429 College Ave, Suite H MODESTO |
State: | CA |
Postal Code: | 953504057 |
Phone Number: | 2095222673 |
Fax Number: | 2095222955 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 03/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 25107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |