Individual
DR. IBRAHIMA DIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7309 HANOVER PKWY STE A, GREENBELT, MD 20770-3666
(301) 446-1724
(301) 446-1726
Mailing address
8843 GREENBELT RD # 347, GREENBELT, MD 20770-2451
(301) 446-1724
(301) 446-1726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19812
MD
225100000X
Physical Therapist
870275
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412134682
TAX #
MD
05
—
442144200
—
MD
05
—
510203102
—
MD
Enumeration date
05/22/2007
Last updated
01/03/2025
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