Provider Demographics
NPI:1073135372
Name:ZAMORA, PAMELA JUNE (PTA)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:JUNE
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 1:1717 WOODY GUTHRIE CT
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-2036
Mailing Address - Country:US
Mailing Address - Phone:832-276-2086
Mailing Address - Fax:
Practice Address - Street 1:104 E HERITAGE DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3854
Practice Address - Country:US
Practice Address - Phone:281-993-2009
Practice Address - Fax:281-993-2007
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant