NPI 1023692563 · live from the CMS NPI Registry
Dana Abu-Maizar, PT, DPT
Physical Therapist in Fort Worth, TX. National Provider Identifier 1023692563, active.
NPI record
| NPI | 1023692563 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 6913 Camp Bowie Blvd Ste 177, Fort Worth, TX 76116 |
| Practice phone | 682-312-7693 |
| Enumerated | May 11, 2021 |
| Last updated | May 11, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 1342852 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.