| Doctor Name: | MR. MAGDY ENANY IBRAHIM |
| NPI Number: | 1255568275 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BA OF PT |
| License Number: | 05005030A |
| Business Practice Address: | 6414a Calumet Ave Hammond, IN - 463241207 |
| Business Phone Number: | 2198037780 |
| Business Fax Number: | 2198037782 |
| Mailing Address: | 8033 Matterhorn Ct, CROWN POINT |
| State: | IN |
| Postal Code: | 463074708 |
| Phone Number: | 2197301271 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2009 |
| NPI Last Update Date: | 06/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05005030A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |