Individual
ANISH G ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9009 WHITE ROCK TRL, DALLAS, TX 75238-3347
(516) 581-9221
Mailing address
308 STONE RIDGE DR, SUNNYVALE, TX 75182-2627
(516) 581-9221
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
116530
TX
Other
Enumeration date
04/08/2018
Last updated
04/08/2018
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