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Individual

IFFAT TAYEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14 LOTUS CIR N, BEAR, DE 19701-6320
(302) 832-5667
Mailing address
14 LOTUS CIR N, BEAR, DE 19701-6320

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3584
MD

Other

Enumeration date
12/05/2012
Last updated
12/05/2012
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