Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 296380 | CA |
NPI | 1013474584 |
---|---|
Provider Name | Nesreen Saad |
First Address | Arcadia, CA 91006-4427 |
Second Address | Rancho Cucamonga, CA 91730-0932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2019 |
Last Update Date | 20/02/2019 |