# DR. DEBRA IBRAHIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083840763
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MB09058200 | NJ | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | OS015953 | PA | Yes |

## Other

- **Enumeration date:** 06/08/2009
- **Last updated:** 07/20/2012
