Organization
BREANNA VIKANDER PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA ALIZADEH DC (PRESIDENT)
(612) 868-6894
Entity
Organization
Contact information
Practice address
25600 RANCHO NIGUEL RD, LAGUNA NIGUEL, CA 92677-7303
(952) 229-7464
Mailing address
PO BOX 549, CHANHASSEN, MN 55317-0549
(952) 229-7464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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