NPI 1871179481 · live from the CMS NPI Registry
Jerin Abraham
Physical Therapist in Little Elm, TX. National Provider Identifier 1871179481, active.
NPI record
| NPI | 1871179481 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2180 Fm 423 Ste 300, Little Elm, TX 75068 |
| Practice phone | 972-979-6577 |
| Mailing address | 790 Remington Blvd, Bolingbrook, IL 60440 |
| Enumerated | March 23, 2021 |
| Last updated | March 23, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.