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Individual

BIJAN KASSEBNIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3101 PORT ROYALE BLVD APT 618, FORT LAUDERDALE, FL 33308-7855
(317) 605-1786
Mailing address
3101 PORT ROYALE BLVD APT 618, FORT LAUDERDALE, FL 33308-7855
(317) 605-1786

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37953
FL

Other

Enumeration date
11/11/2020
Last updated
01/05/2022
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