Organization
4-110 INC.
Active
Other names
Caspian Physical Therapy and Rehabilitation Svcs.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIMI SAADAT P.T. (PRESIDENT)
(714) 543-9788
Entity
Organization
Contact information
Practice address
1125 E 17TH ST, EAST 213, SANTA ANA, CA 92701-2201
(714) 543-9788
Mailing address
1125 E 17TH ST, EAST 213, SANTA ANA, CA 92701-2201
(714) 543-9788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT11203
CA
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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