Individual
ANURAJ PERUMCHIRA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
250 FAIRVIEW RD, THOUSAND OAKS, CA 91361-2456
(805) 494-1233
Mailing address
250 FAIRVIEW RD, THOUSAND OAKS, CA 91361-2456
(805) 494-1233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8661
CA
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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