Individual
SHAHRZAD SOPHIA SADRPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8717 VENICE BLVD, LOS ANGELES, CA 90034-3216
(310) 337-7115
Mailing address
8717 VENICE BLVD, LOS ANGELES, CA 90034-3216
(310) 337-7115
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 41135
CA
Other
Enumeration date
03/17/2014
Last updated
03/19/2014
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