Individual
MR. MOHAMMAD ALI SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8540 S HARLEM AVE, BRIDGEVIEW, IL 60455-1778
(708) 598-2605
Mailing address
6606 W 89TH PL, OAK LAWN, IL 60453-1026
(708) 606-8735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006048
IL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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