Individual
ZIYAD ABDEL-FATTAH ELEWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2104 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55433-3045
(612) 418-6077
Mailing address
5041 NICOLLET AVE, MINNEAPOLIS, MN 55419-2613
(414) 403-5298
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3335
MN
Other
Enumeration date
01/22/2019
Last updated
05/21/2024
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