Healthcare Provider Details

I. General information

NPI: 1487047650
Provider Name (Legal Business Name): ELISA ZAPATA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELISA CAREY DPT

II. Dates (important events)

Enumeration Date: 03/12/2015
Last Update Date: 10/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4930 W KAWEAH CT 203
VISALIA CA
93277-8324
US

IV. Provider business mailing address

1870 S CENTRAL ST
VISALIA CA
93277-4418
US

V. Phone/Fax

Practice location:
  • Phone: 559-713-6806
  • Fax: 559-713-6809
Mailing address:
  • Phone: 559-636-1200
  • Fax: 559-636-1260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT42310
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: