Individual
ARIANA MORTAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
2918 BARKLEY AVE, SANTA CLARA, CA 95051-2352
(510) 517-4569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT301345
CA
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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