Individual
MRS. JESSICA WALKER KEZIRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1855 COCHRAN ST STE 109, SIMI VALLEY, CA 93065-2263
(805) 526-2311
(805) 526-6608
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36236
CA
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36236
STATE LICENSE
CA
Enumeration date
09/24/2009
Last updated
01/20/2026
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