Azar Noorafrouz, MPT | |
19027 Kittridge St Apt 103, Reseda, CA 91335-5038 | |
(818) 302-9296 | |
Not Available |
Full Name | Azar Noorafrouz |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 19027 Kittridge St Apt 103, Reseda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346676715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT40503 (California) | Primary |
Provider Name | Managed Care Rehab Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881749323 PECOS PAC ID: 4789635822 Enrollment ID: O20050204000823 |
Mailing Address | Practice Location Address |
---|---|
Azar Noorafrouz, MPT 19027 Kittridge St Apt 103, Reseda, CA 91335-5038 Ph: (818) 302-9296 | Azar Noorafrouz, MPT 19027 Kittridge St Apt 103, Reseda, CA 91335-5038 Ph: (818) 302-9296 |
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