Individual
MR. EMAD R ISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
7491 RIDGEFIELD LN, LAKE WORTH, FL 33467-7329
(561) 436-9595
(561) 439-7595
Mailing address
10288 HUNT CLUB LN, PALM BEACH GARDENS, FL 33418-4577
(561) 630-3729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0008047
FL
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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