Individual
BISSAN MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 RIDGEWOOD AVE, BRANDON, FL 33510-4617
(813) 662-1060
Mailing address
15904 ELLSWORTH DR, TAMPA, FL 33647-1326
(813) 453-0991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42224
FL
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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