Individual
ALIREZA ABEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3241 S CUSTER RD, MCKINNEY, TX 75070-1621
(972) 979-6577
(972) 979-6951
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1300399
TX
225100000X
Physical Therapist
2305210978
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
06/04/2017
Last updated
05/23/2023
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