Individual
ROMI ABOUZEDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5547
Mailing address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5547
(701) 747-5469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT292808
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447791694
NPI
—
Enumeration date
03/20/2017
Last updated
01/10/2020
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