NPI 1356786545 · live from the CMS NPI Registry
Mazoza Morsi Abdallah, P.T
Physical Therapist in Munster, IN. National Provider Identifier 1356786545, active.
NPI record
| NPI | 1356786545 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 9200 Calumet Ave, Suite 401, Munster, IN 46321 |
| Practice phone | 219-513-8866 |
| Mailing address | 15826 Rob Roy Dr, Oak Forest, IL 60452 |
| Enumerated | May 1, 2013 |
| Last updated | May 1, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 05004041A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.