Healthcare Provider Details

I. General information

NPI: 1124462346
Provider Name (Legal Business Name): SONIA MARIE ZAPATA MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24517 TOWN CENTER DR
VALENCIA CA
91355-1328
US

IV. Provider business mailing address

24517 TOWN CENTER DR
VALENCIA CA
91355-1328
US

V. Phone/Fax

Practice location:
  • Phone: 661-288-1212
  • Fax: 661-288-1715
Mailing address:
  • Phone: 661-288-1212
  • Fax: 661-288-1715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number33860
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: