Individual
MR. HISHAM IBRAHIM ALKHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9745 OLYMPIA DR, FISHERS, IN 46037-9226
(317) 576-1925
Mailing address
7833 DAWSON DR, FISHERS, IN 46038
(317) 809-7878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009808A
IN
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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