Mahta Gazor, PTA

NPI #1659500593 in Rancho Mirage, California

Provider Information

NPI Number: 1659500593
Entity Type: Individual
Name: Mahta Gazor, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 14, 2009
Last Updated: Sep 18, 2009

Practice Location

Address: 72201 COUNTRY CLUB DR
City: Rancho Mirage
State: California
ZIP Code: 92270-4001
Phone: (760) 340-5999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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