Individual
ALISHA NIZAR MUKADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, RD, LD
Contact information
Practice address
25140 KINGSLAND BLVD STE 203, KATY, TX 77494-8472
(832) 768-1821
Mailing address
5927 ALMEDA RD UNIT 22310, HOUSTON, TX 77004-8074
(327) 681-8218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1370749
TX
Other
Enumeration date
11/21/2022
Last updated
02/14/2025
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