Individual
MR. ADIL TNAIMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCPO & LPO
Contact information
Practice address
377 STONYBROOK DR, LEVITTOWN, PA 19055-2015
(215) 269-3320
(215) 269-3325
Mailing address
377 STONYBROOK DR, LEVITTOWN, PA 19055-2015
(215) 269-3320
(215) 269-3325
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OH000139
PA
224P00000X
Prosthetist
Primary
PO000216
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH000139
ORTHOTIST LICENSE
PA
01
—
PO000216
PROSTHETIST LICENSE
PA
Enumeration date
03/12/2017
Last updated
03/12/2017
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