Individual
SUMAMA AZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2069 SAN BERNARDINO AVE APT 1196, COLTON, CA 92324-7451
(909) 751-6728
Mailing address
2069 SAN BERNARDINO AVE APT 1196, COLTON, CA 92324-7451
(909) 751-6728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52915
CA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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