# AHMAD MARWAN KASKAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386254530
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT015947 | GA | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 10544 | LA | — |

## Other

- **Enumeration date:** 08/03/2020
- **Last updated:** 07/26/2022