Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1235743550 |
---|---|
Provider Name | Melody Barjasteh Mohebbi |
First Address | Bellflower, CA 90706-2408 |
Second Address | Bellflower, CA 90706-2408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2020 |
Last Update Date | 03/09/2020 |