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Individual
MR. TIGRAN KHACHATRYAN
Active
Individual
MR. TIGRAN KHACHATRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0014385
CO
225200000X
Physical Therapy Assistant
Primary
30841
FL
Other
Enumeration date
06/20/2018
Last updated
04/05/2021
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