Provider Demographics
NPI:1124782891
Name:ZAMORA, CARA MEGAN (PTA)
Entity type:Individual
Prefix:MS
First Name:CARA
Middle Name:MEGAN
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 BRADLEY DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-5997
Mailing Address - Country:US
Mailing Address - Phone:815-351-4896
Mailing Address - Fax:
Practice Address - Street 1:6501 S CASS AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-3200
Practice Address - Country:US
Practice Address - Phone:630-960-2026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160006368208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation