Individual
AMAL KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
(414) 354-3300
(414) 354-7419
Mailing address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
577019
WI
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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