Individual
FAWZY S BOTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12440 IMPERIAL HWY, 116, NORWALK, CA 90650-3177
(562) 651-5000
Mailing address
12028 164TH ST, NORWALK, CA 90650-7244
(562) 921-8758
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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