Individual
RANIL ZIGANSHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2990 HOLME AVE, PHILADELPHIA, PA 19136-1830
(215) 992-1861
Mailing address
9305 ASHTON RD APT A8, PHILADELPHIA, PA 19114-3445
(248) 719-4465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009652
PA
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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