Individual
BRANDON BAKHTIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 E 3RD AVE, FOSTER CITY, CA 94404-1067
(916) 812-4190
Mailing address
600 MARINERS ISLAND BLVD APT 6, SAN MATEO, CA 94404-1022
(916) 812-4190
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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