Michael J Abughazaleh
Physical Therapist in Roseville, CA. Individual provider (NPI-1).
NPI number1982113502
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1982113502
- Entity type
- Individual (NPI-1)
- Name
- Michael J Abughazaleh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2017
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 293784 | CA | Yes |
Practice location
1600 Eureka RdRoseville, CA 95661-3027
Phone 916-784-4000
Mailing address
1224 Manza CirRoseville, CA 95678-5874
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