MEDICARE: ADRIANNA ZAMUDIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2078031	TX

General Provider Information

NPI Number	:	1497044804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANNA ZAMUDIO

Provider Business Mailing Address
First Line	:	9939 FREDERICKSBURG RD APT 1603
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4157
Country	:	US
Telephone Number	:	956-371-0770
Fax Number	:

Provider Business Practice Location Address
First Line	:	9939 FREDERICKSBURG RD APT 1603
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4157
Country	:	US
Telephone Number	:	956-371-0770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2011
Last Update Date	:	04/06/2011

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Directions to “ ADRIANNA ZAMUDIO ” Practice Location

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