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Individual
NASSER C AMILASAN
Active
Individual
NASSER C AMILASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 17823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00444361
RAILROAD MEDICARE PTAN
CA
01
—
PT 17823
STATE LICENSE
CA
Enumeration date
01/31/2007
Last updated
03/08/2011
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