Individual provider · Type 1 NPI

Sanam Ejaz, PTA

Physical Therapy Assistant · Rancho Cucamonga, CA

NPI number 1295511608 Active

Practice location

9695 Base Line Rd
Rancho Cucamonga, CA 91730-1314

Call (909) 481-0437 Map

Mailing address

6350 Serpens Ct
Eastvale, CA 91752-7616

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X50639 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1295511608

Sanam Ejaz, PTA's National Provider Identifier is 1295511608, issued on Sep 1, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Sep 1, 2023.