Individual
CILINA ISAM HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Mailing address
11067 GRANGER PL, PORTER RANCH, CA 91326-2302
(818) 399-4032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
305560
CA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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