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NPI Code Detail

MEDICARE: AZIZA FUNDI

MEDICARE: AZIZA FUNDI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant0014688CO

General Provider Information

NPI Number : 1841848983
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZIZA FUNDI
Provider Business Mailing Address
First Line : 4900 TRENTON ST APT 223
Second Line :
City : DENVER
State : CO
Zip : 80238-3949
Country : US
Telephone Number : 319-640-8912
Fax Number :
Provider Business Practice Location Address
First Line : 2205 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3803
Country : US
Telephone Number : 303-458-1112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2019
Last Update Date : 09/02/2019

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Directions to “ AZIZA FUNDI ” Practice Location

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