Individual
AHMED ALTASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4343 PACIFIC AVE STE B1, STOCKTON, CA 95207-7664
(209) 425-4071
(209) 451-5687
Mailing address
1106 WALNUT ST, SAN LUIS OBISPO, CA 93401-2416
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT294940
CA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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