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Individual

MASSOUD TALAIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15789
MD
2251S0007X
Sports Physical Therapist
15789
MD
2251X0800X
Orthopedic Physical Therapist
15789
MD

Other

Enumeration date
11/16/2006
Last updated
06/11/2025
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