Individual
HASHIM SAHEB JADERANII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1061 MURRAY AVE, SAN LUIS OBISPO, CA 93405-8807
(219) 616-6661
Mailing address
1061 MURRAY AVE, SAN LUIS OBISPO, CA 93405-8807
(219) 616-6661
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004523
IL
Other
Enumeration date
09/18/2009
Last updated
04/04/2016
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