Doctor Name: | SORAYA AHMADI-NIA ROUDSARI |
NPI Number: | 1194113605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT 41682 |
Business Practice Address: | 6055 Meridian Ave Ste 70 San Jose, CA - 951202700 |
Business Phone Number: | 4089270871 |
Business Fax Number: | |
Mailing Address: | 3955 Vistapark Dr, SAN JOSE |
State: | CA |
Postal Code: | 951364400 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/06/2015 |
NPI Last Update Date: | 02/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 41682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |