Individual
AHMED ALAAELDIN MOHAMED HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6857 PULASKI AVE, FAIRLAWN, VA 24141-8817
(540) 998-9926
Mailing address
6857 PULASKI AVE, FAIRLAWN, VA 24141-8817
(540) 998-9926
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605116
VA
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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