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Organization
FARID ZIA PHYSICAL THERAPIST A PROFESSIONAL CORP
Active
Organization
FARID ZIA PHYSICAL THERAPIST A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARID MEMAR ZIA P.T. (PRESIDENT)
(760) 353-3422
Entity
Organization
Contact information
Practice address
1698 CRUICKSHANK DR STE A, EL CENTRO, CA 92243-1462
(760) 353-3422
(760) 353-9163
Mailing address
PO BOX 3204, EL CENTRO, CA 92244-3204
(760) 353-3422
(760) 353-9163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24141
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125159900
U.S. DEPT OF LABOR
—
01
—
PT 24141
BLUE SHIELD
CA
Enumeration date
02/01/2007
Last updated
09/09/2021
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