Healthcare Provider Details

I. General information

NPI: 1760856462
Provider Name (Legal Business Name): VALERIE ZAMORA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALERIE RZEPKA PT

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4507
US

IV. Provider business mailing address

777 BANNOCK ST
DENVER CO
80204-4507
US

V. Phone/Fax

Practice location:
  • Phone: 970-722-1060
  • Fax:
Mailing address:
  • Phone: 970-722-1060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0013635
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: