Individual
MICHELLE SANTOS ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
10590 EAGLE NEST ST, LAS VEGAS, NV 89141-3825
(702) 835-2901
Mailing address
10590 EAGLE NEST ST, LAS VEGAS, NV 89141-3825
(702) 835-2901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 33162
PT BOARD OF CALIFORNIA
CA
01
—
PT3069
NEVADA PT BOARD
NV
Enumeration date
04/06/2011
Last updated
04/08/2020
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