| Doctor Name: | MR. VINCENT KABBAZ |
| NPI Number: | 1205036415 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT 28264 |
| Business Practice Address: | 5900 Monona Dr Suite 200 Monona, WI - 537163554 |
| Business Phone Number: | 6084410032 |
| Business Fax Number: | 6084410034 |
| Mailing Address: | 5900 Monona Dr, Suite 200 MONONA |
| State: | WI |
| Postal Code: | 537163554 |
| Phone Number: | 6084410032 |
| Fax Number: | 6084410034 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 07/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT 28264 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |