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Individual

MARVIN E ALLAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
15215 NATIONAL AVE STE 100, LOS GATOS, CA 95032-2425
(408) 358-7326
Mailing address
575 W HACIENDA AVE APT 214, CAMPBELL, CA 95008-6551
(832) 344-7950

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50780
CA

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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