Organization
ELAWADTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAMAL SALMAN ELAWAD (PHYSICAL THERAPIST)
(770) 468-8468
Entity
Organization
Contact information
Practice address
512 S HOUSTON LAKE RD, WARNER ROBINS, GA 31088-6308
(770) 468-8468
(478) 254-4026
Mailing address
537 SANTA BARBARA DR, FOREST PARK, GA 30297-3453
(770) 991-1227
(770) 991-1226
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTO11332
GA
261QP2000X
Physical Therapy Clinic/Center
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Other
Enumeration date
04/15/2016
Last updated
03/04/2020
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