Organization
ALIED FIVE STAR CORPORATION
Active
Other names
Alied Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SURAIYA AHMED PT (OWNER)
(909) 948-2080
Entity
Organization
Contact information
Practice address
7365 CARNELIAN ST STE 124, RANCHO CUCAMONGA, CA 91730-1156
(909) 948-2080
Mailing address
7365 CARNELIAN ST STE 124, RANCHO CUCAMONGA, CA 91730-1156
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT15373
CA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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