Provider Demographics
NPI:1689748089
Name:ZOVAR, ALAN P (PT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:P
Last Name:ZOVAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 BRIAR BLUFF CIR
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-2734
Mailing Address - Country:US
Mailing Address - Phone:805-241-6400
Mailing Address - Fax:
Practice Address - Street 1:1851 LOMBARD ST
Practice Address - Street 2:SUITE # 100
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-8230
Practice Address - Country:US
Practice Address - Phone:805-983-2234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist