Individual
MR. EHAB BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
4401 S HOPKINS AVE, TITUSVILLE, FL 32780-6679
(321) 383-0889
(321) 383-0898
Mailing address
4401 S HOPKINS AVE, TITUSVILLE, FL 32780-6679
(321) 383-0889
(321) 383-0898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10247
FL
Other
Enumeration date
08/21/2006
Last updated
05/27/2010
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