Individual
ALIREZA NIKNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 ALCALDE WAY, GLENDALE, CA 91207-1124
(404) 918-9405
Mailing address
1020 ALCALDE WAY, GLENDALE, CA 91207-1124
(404) 918-9405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
37575
CA
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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