Individual
NADER IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7548 BRIGHTWATER PL, OVIEDO, FL 32765-5648
(407) 227-6621
Mailing address
7548 BRIGHTWATER PL, OVIEDO, FL 32765-5648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21291
FL
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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