Individual
TAMAR TASHDJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 MAIN ST FL 2, VENICE, CA 90291-3626
(818) 590-6639
Mailing address
1247 CRESCENT DR, GLENDALE, CA 91205-3561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10773
CA
Other
Enumeration date
04/08/2021
Last updated
05/28/2021
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