Individual
IBRAHIM ELLITHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
10615 W THUNDERBIRD BLVD STE D165, SUN CITY, AZ 85351-3033
(623) 977-2221
Mailing address
17431 N 83RD DR, PEORIA, AZ 85382-8083
(623) 302-0919
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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