Individual
DR. MARIAM TAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
5757 WILSHIRE BLVD STE 460, LOS ANGELES, CA 90036-3658
(323) 634-0221
Mailing address
1511 E 23RD ST APT D, SIGNAL HILL, CA 90755-3565
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
300761
CA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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