Individual
AMY NGO SHAHBAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
309 S GATEWAY DR, MADERA, CA 93637-3531
(559) 674-7201
Mailing address
309 S GATEWAY DR, MADERA, CA 93637-3531
(559) 674-7201
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
291159
CA
Other
Enumeration date
03/07/2016
Last updated
03/12/2024
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