Individual
ATEF FARAH MITRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPY
Contact information
Practice address
3959 S NOVA R, SUITE #1, PORT ORANGE, FL 32127
(386) 767-0557
(386) 757-3251
Mailing address
3959 S NOVA RD, SUITE #1, PORT ORANGE, FL 32127
(386) 767-0557
(386) 757-3251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10588
FL
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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