Individual
KEIKO KOMORI BAHRAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3067 W ORANGE AVE, ANAHEIM, CA 92804-3156
(714) 827-2440
Mailing address
827 W FLETCHER AVE, ORANGE, CA 92865-2536
(949) 258-2147
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50336
CA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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