Provider Demographics
NPI:1487047650
Name:ZAPATA, ELISA (DPT)
Entity type:Individual
Prefix:
First Name:ELISA
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ELISA
Other - Middle Name:
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1870 S CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4418
Mailing Address - Country:US
Mailing Address - Phone:559-636-1200
Mailing Address - Fax:559-636-1260
Practice Address - Street 1:4930 W KAWEAH CT
Practice Address - Street 2:203
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8324
Practice Address - Country:US
Practice Address - Phone:559-713-6806
Practice Address - Fax:559-713-6809
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT42310225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist