Organization
IGNITE PHYZIO & SPORTS PERFORMANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD DAHDUL PT (OWNER)
(562) 896-0129
Entity
Organization
Contact information
Practice address
811 E LAMBERT RD, LA HABRA, CA 90631-6143
(562) 896-0129
Mailing address
1703 SHADY BROOK DR, FULLERTON, CA 92831-1850
(562) 896-0129
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT37147
CA
Other
Enumeration date
01/18/2018
Last updated
03/09/2020
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