Provider Demographics
NPI:1780082081
Name:ALVAREZ, JANEV ALICIA (DPT)
Entity type:Individual
Prefix:
First Name:JANEV
Middle Name:ALICIA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N MAIN ST UNIT 1537
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-2565
Mailing Address - Country:US
Mailing Address - Phone:805-296-1131
Mailing Address - Fax:805-980-3075
Practice Address - Street 1:65 S MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-8703
Practice Address - Country:US
Practice Address - Phone:805-296-1131
Practice Address - Fax:805-980-3075
Is Sole Proprietor?:No
Enumeration Date:2014-12-18
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42039225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist