Individual
BITA SHAHIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
2607 MANHATTAN BEACH BLVD, REDONDO BEACH, CA 90278-1604
(424) 400-5858
(310) 536-0061
Mailing address
211 YACHT CLUB WAY, #108, REDONDO BEACH, CA 90277-2057
(424) 400-5858
(310) 536-0061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29051
CA
Other
Enumeration date
07/17/2006
Last updated
04/09/2012
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