Healthcare Provider Details

I. General information

NPI: 1760393243
Provider Name (Legal Business Name): VANESSA ZAMORA-GARZA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 E PARKER CT
VISALIA CA
93292-3195
US

IV. Provider business mailing address

664 CORTE LOREN
SAN MARCOS CA
92069-7319
US

V. Phone/Fax

Practice location:
  • Phone: 559-623-2054
  • Fax:
Mailing address:
  • Phone: 559-623-2054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: