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Ali Etessam, DPT
Specialist in Irvine, California
NPI 1558403733

Ali Etessam is a Specialist based in Irvine, CA. Ali Etessam practices in Irvine, CA and has the professional credentials of DPT. The NPI Number for Ali Etessam is 1558403733 and holds a License No. PT20329 (California).

The current practice location address for Ali Etessam is 3 Corporate Park Ste 165, Irvine, CA and can be reached out via phone at 949-207-7377 and via fax at 949-207-3227.

Location: 3 Corporate Park Ste 165, Irvine, CA, 92606-5161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558403733
Provider Name
Ali Etessam
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
3 Corporate Park Ste 165, Irvine, CA, 92606-5161
Phone Number
949-207-7377
Fax Number
949-207-3227
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT0203290 05 CA
institution
Provider Business Practice Location Address Details
Address
3 Corporate Park Ste 165
City
Irvine
State
California
Zip
92606-5161
Phone Number
949-207-7377
Fax Number
949-207-3227
person
Provider Business Mailing Address Details
Address
3 Corporate Park Ste 165
City
Irvine
State
California
Zip
92606-5161
Phone Number
949-207-7377
Fax Number
949-207-3227
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT20329 (California)
Definition
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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