Provider Demographics
NPI:1881267383
Name:KAPOYAN, GOHAR (DPT)
Entity type:Individual
Prefix:DR
First Name:GOHAR
Middle Name:
Last Name:KAPOYAN
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 1:524 E HARVARD RD APT 104
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-1873
Mailing Address - Country:US
Mailing Address - Phone:818-441-6631
Mailing Address - Fax:
Practice Address - Street 1:524 E HARVARD RD APT 104
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91501-1873
Practice Address - Country:US
Practice Address - Phone:818-441-6631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT291962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist