Individual
MR. SHAHRAM DANAEI-BOROUMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 SOUTH BLVD, SAN MATEO, CA 94402-2462
(650) 638-1988
(650) 638-0788
Mailing address
146 SOUTH BLVD, SAN MATEO, CA 94402-2462
(650) 638-1988
(650) 638-0788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6533
CA
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/27/2007
Last updated
04/04/2013
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