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Contact Information

RUSALY MOHAMMAD, PTA
4510 E PACIFIC COAST HIGHWAY
#305
LONG BEACH, CA90804
 Phone: 562-494-8094
 Fax: 562-494-8057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for RUSALY MOHAMMAD · (Male)

NPI # 1093812810
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 09/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # AT8258
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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