BAHRAM DERAKHSHAN

POWAY, CA
NPI1124779681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  4079)
Enumeration Date2022-01-15
Last Update Date2022-01-15
Business Address
BAHRAM DERAKHSHAN
14015 FRAME RD
POWAY, CA 92064-3205
Phone number: 858-774-6241
Mailing Address
BAHRAM DERAKHSHAN
14015 FRAME RD
POWAY, CA 92064-3205
Phone number: