Bahram Derakhshan
NPI #1124779681 in Poway, California
Provider Information
- NPI Number
- 1124779681
- Entity Type
- Individual
- Name
- Bahram Derakhshan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jan 15, 2022
- Last Updated
- Jan 15, 2022
Practice Location
- Address
- 14015 FRAME RD
- City
- Poway
- State
- California
- ZIP Code
- 92064-3205
- Phone
- (858) 774-6241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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