Individual
MRS. IMAN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
048574
NY
225200000X
Physical Therapy Assistant
Primary
009662
NY
Other
Enumeration date
01/13/2021
Last updated
04/11/2022
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