MEDICARE: ANTHONY ZAMORA

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	2120562	TX

General Provider Information

NPI Number	:	1467266619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY ZAMORA

Provider Business Mailing Address
First Line	:	1109 COYOTE LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-7609
Country	:	US
Telephone Number	:	915-613-6952
Fax Number	:

Provider Business Practice Location Address
First Line	:	2146 W RAILROAD AVE
Second Line	:
City	:	SHELTON
State	:	WA
Zip	:	98584-7126
Country	:	US
Telephone Number	:	360-480-1506
Fax Number	:

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

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	02/06/2025

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