ROESHAN SHADRAVAN, PHD. DOMP. MSC. CST.
Massage Therapist
Active
Individual
NPI: 1144860743
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Mechanotherapist | 172M00000X | No | - |
| Massage Therapist | 225700000X | Yes | 30079 (CA) |
Frequently Asked Questions
NPI 1144860743 is the National Provider Identifier for ROESHAN SHADRAVAN, PHD. DOMP. MSC. CST., a Massage Therapist provider located in Solana Beach, CA. This NPI was enumerated on January 11, 2020.
ROESHAN SHADRAVAN, PHD. DOMP. MSC. CST. practices at 1505 LOMAS SANTA FE DR, Solana Beach, CA 92075.
Quick Facts
- NPI
- 1144860743
- Type
- Individual
- Enumerated
- Jan 11, 2020
- Last Updated
- Feb 2, 2022
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