Individual
SHAHID NOOR RAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13575 W MCDOWELL RD, GOODYEAR, AZ 85395-2604
(623) 536-9911
Mailing address
3131 W CLAREMONT ST, PHOENIX, AZ 85017-1528
(602) 515-1612
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014417
AZ
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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