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1124564067
ROBERT BEHYAD BANIASADI
THOUSAND OAKS, CA
NPI
1124564067
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Former Name
BOBBY BANIASADI
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10280)
Enumeration Date
2017-01-17
Last Update Date
2017-01-17
Business Address
-- ROBERT BEHYAD BANIASADI PTA
612 E JANSS RD
THOUSAND OAKS, CA 91360-5113
Phone number: 805-373-0725
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Mailing Address
-- ROBERT BEHYAD BANIASADI PTA
8510 BALBOA BLVD STE 150
NORTHRIDGE, CA 91325-3583
Phone number:
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