Individual
FAHRUELDIN EBED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5262 NE BROOKWOOD PKWY, HILLSBORO, OR 97124-5345
(503) 395-3000
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
293069
CA
225100000X
Physical Therapist
43985
NY
225100000X
Physical Therapist
Primary
62114
OR
225100000X
Physical Therapist
CP008371T
UT
225100000X
Physical Therapist
CP008372T
CO
Other
Enumeration date
07/25/2017
Last updated
06/26/2024
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