Individual
MR. ABDALLAH OMAR ITANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
1111 W TOWN AND COUNTRY RD, SUITE 1, ORANGE, CA 92868-4615
(714) 997-5518
(714) 744-2650
Mailing address
1111 W TOWN AND COUNTRY RD, SUITE 1, ORANGE, CA 92868-4615
(714) 997-5518
(714) 744-2650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 34438
CA
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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