SUMAMA AZAD

COLTON, CA
NPI1356118871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  52915)
Enumeration Date2023-12-05
Last Update Date2023-12-05
Business Address
SUMAMA AZAD PTA
2069 SAN BERNARDINO AVE APT 1196
COLTON, CA 92324-7451
Phone number: 909-751-6728
Mailing Address
SUMAMA AZAD PTA
2069 SAN BERNARDINO AVE APT 1196
COLTON, CA 92324-7451
Phone number: 909-751-6728