Individual
ERNEST RAHEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6036 N 19TH AVE STE 303, PHOENIX, AZ 85015-2105
(520) 822-8640
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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