Individual
SAMY BAHER HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1398 MEADOWBROOK RD NE, PALM BAY, FL 32905-5045
(321) 412-8230
Mailing address
1398 MEADOWBROOK RD NE, PALM BAY, FL 32905-5045
(321) 412-8230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20301
FL
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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