| NPI | 1992585657 |
|---|---|
| Former Name | MAZIYAR SOROOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT305864) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-33262) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-02-18 |