Individual
ELAHE GHEISARI MIRESHGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5202
Mailing address
6273 CALLE BONITA, SAN JOSE, CA 95120-4902
(408) 306-1567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19311
CA
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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