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SHAHZAD MOHAMMED AZAD P.T
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1912212697
Individual Registrant: SHAHZAD MOHAMMED AZAD P.T
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
17061 MAIN ST HESPERIA, CA 92345-6067 US
Tel: 760-956-4126 Fax: --
Tel: 760-956-4126 Fax: --
Contact information for business:
17061 MAIN ST HESPERIA, CA 92345-6067 US
Tel: 760-956-4126 Fax: --
Tel: 760-956-4126 Fax: --
Registration Information:
NPI: 1912212697
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | 36727 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| TPAN | EP927Z | CA | 01 |
