Individual provider · Type 1 NPI

Manijeh Ezatvar, RPT

Specialist · Thousand Oaks, CA

NPI number 1598909855 Active

Practice location

1000 Newbury Rd, Suite 120
Thousand Oaks, CA 91320-6435

Call (805) 375-0001 Map

Fax (805) 375-2221

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X19200 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1598909855

Manijeh Ezatvar, RPT's National Provider Identifier is 1598909855, issued on Apr 29, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Thousand Oaks, CA. The record was last updated on Apr 29, 2009.