Provider Demographics
NPI:1841413523
Name:SOOD, ABHA (PT)
Entity type:Individual
Prefix:MS
First Name:ABHA
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21333 LASSEN ST
Mailing Address - Street 2:5D
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-4203
Mailing Address - Country:US
Mailing Address - Phone:818-882-2374
Mailing Address - Fax:818-882-0780
Practice Address - Street 1:10605 BALBOA BLVD
Practice Address - Street 2:330
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-6342
Practice Address - Country:US
Practice Address - Phone:818-832-7272
Practice Address - Fax:818-832-7249
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT12826225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist