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Individual

ABDILLAIVA KADIRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
(850) 689-8100
Mailing address
301 ASHLEY DR, CRESTVIEW, FL 32536-9292

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24839
MD
225100000X
Physical Therapist
4131
NM
225100000X
Physical Therapist
Primary
PT37830
FL

Other

Enumeration date
12/12/2013
Last updated
09/23/2025
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