Provider Demographics
NPI: | 1518253871 |
---|---|
Name: | SAEED, GULRUKH REHAN (PT) |
Entity Type: | Individual |
Prefix: | |
First Name: | GULRUKH |
Middle Name: | REHAN |
Last Name: | SAEED |
Suffix: | |
Gender: | F |
Credentials: | PT |
Other - Prefix: | |
Other - First Name: | GULRUKH |
Other - Middle Name: | |
Other - Last Name: | RAO |
Other - Suffix: | |
Other - Last Name Type: | Professional Name |
Other - Credentials: | DPT |
Mailing Address - Street 1: | 20873 E WALNUT CANYON RD |
Mailing Address - Street 2: | |
Mailing Address - City: | WALNUT |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91789-1290 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 909-964-2023 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 18856 AMAR RD |
Practice Address - Street 2: | SUITE 8 |
Practice Address - City: | WALNUT |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91789-7103 |
Practice Address - Country: | US |
Practice Address - Phone: | 626-667-8600 |
Practice Address - Fax: | 626-667-8601 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2011-06-24 |
Last Update Date: | 2018-03-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | 42147 | 2251G0304X, 2251H1200X, 2251N0400X, 2251P0200X, 2251S0007X, 2251X0800X, 225100000X, 2251C2600X, 2251E1200X, 2251E1300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
No | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics |
No | 2251H1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology |
No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics |
No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No | 2251C2600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Cardiopulmonary |
No | 2251E1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Ergonomics |
No | 2251E1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Electrophysiology, Clinical |