Heather Lauren Ahmadzai, DPT | |
822 Shasta Daisy Dr, Brentwood, CA 94513-6382 | |
(925) 813-0586 | |
Not Available |
Full Name | Heather Lauren Ahmadzai |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 822 Shasta Daisy Dr, Brentwood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699340810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 299107 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Heather Lauren Ahmadzai, DPT 822 Shasta Daisy Dr, Brentwood, CA 94513-6382 Ph: (925) 813-0586 | Heather Lauren Ahmadzai, DPT 822 Shasta Daisy Dr, Brentwood, CA 94513-6382 Ph: (925) 813-0586 |
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