Ashasha Tselat Sumbatyan, PTA
Physical Therapy Assistant in Largo, MD. Individual provider (NPI-1).
NPI number1164069449
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1164069449
- Entity type
- Individual (NPI-1)
- Name
- Ashasha Tselat Sumbatyan
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2019
- Last updated
- Dec 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A5261 | MD | Yes |
Practice location
1221 Mercantile LnLargo, MD 20774-5374
Phone 301-904-5973
Mailing address
704 Chaney Dr Apt 2Takoma Park, MD 20912-6366
Phone 202-476-9213
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