Individual
MAHA L BOUAICHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPT
Contact information
Practice address
4125 ALBEMARLE ST NW, STE 101, WASHINGTON, DC 20016-2105
(202) 459-4594
(202) 558-4381
Mailing address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24596
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2013
Last updated
08/25/2021
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