Individual provider · Type 1 NPI

Ali Etessam, D.P.T.

Specialist · Irvine, CA

NPI number 1558403733 Active

Practice location

3 Corporate Park Ste 165
Irvine, CA 92606-5161

Call (949) 207-7377 Map

Fax (949) 207-3227

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT20329 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1558403733

Ali Etessam, D.P.T.'s National Provider Identifier is 1558403733, issued on Feb 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Irvine, CA. The record was last updated on Sep 16, 2021.