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SHAHZAD MOHAMMED AZAD P.T

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1912212697

Individual Registrant:
 SHAHZAD MOHAMMED AZAD P.T
Gender: M
Not Sole Proprietor

Location and contact information for practice:
17061 MAIN ST  HESPERIA, CA 92345-6067 US
Tel: 760-956-4126  Fax: --

Contact information for business:
17061 MAIN ST  HESPERIA, CA 92345-6067 US
Tel: 760-956-4126  Fax: --

Registration Information:
NPI: 1912212697
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA36727

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TPANEP927ZCA01




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