Individual
MR. HISHAM NAZIR MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
37232 AUDUBON PARK AVE, GEISMAR, LA 70734-3266
(225) 772-3841
Mailing address
37232 AUDUBON PARK AVE, GEISMAR, LA 70734-3266
(225) 772-3841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4899
LA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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