Organization
ALIED FIVE STAR
Active
Other names
Alied Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SURAIYA AHMED PT (DIRECTOR)
(909) 463-8616
Entity
Organization
Contact information
Practice address
7365 CARNELIAN ST, SUITE 124, RANCHO CUCAMONGA, CA 91730-1158
(909) 984-2080
Mailing address
7365 CARNELIAN ST, SUITE 124, RANCHO CUCAMONGA, CA 91730-1158
(909) 984-2080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15373
CA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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