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Individual

KHALEEL LEROY ABDUL-JABBAAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
27 TACOMA ST, HYDE PARK, MA 02136-3203
(857) 204-6228

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
25136
MA

Other

Enumeration date
08/13/2020
Last updated
08/13/2020
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