Provider Demographics
NPI:1386390847
Name:ZOLFONOON, SAYEH M (DPT)
Entity type:Individual
Prefix:
First Name:SAYEH
Middle Name:M
Last Name:ZOLFONOON
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 1:2324 BATH ST STE A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4359
Mailing Address - Country:US
Mailing Address - Phone:805-682-3870
Mailing Address - Fax:805-569-3860
Practice Address - Street 1:2324 BATH ST STE A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4359
Practice Address - Country:US
Practice Address - Phone:805-682-3870
Practice Address - Fax:805-569-3860
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT301129225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty