Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 226300000X | Kinesiotherapist |
NPI | 1730148578 |
---|---|
Provider Name | Mrs. Aram Shahmirizadeh Craig |
First Address | Long Beach, CA 90815-0726 |
Second Address | Torrance, CA 90505-4709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 20/08/2019 |