Manijeh Ezatvar, RPT

NPI #1598909855 in Thousand Oaks, California

Provider Information

NPI Number: 1598909855
Entity Type: Individual
Name: Manijeh Ezatvar, RPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: RPT
Enumeration Date: Apr 29, 2009
Last Updated: Apr 29, 2009

Practice Location

Address: 1000 NEWBURY RD
Address 2: SUITE 120
City: Thousand Oaks
State: California
ZIP Code: 91320-6435
Phone: (805) 375-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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