Doctor Name: | MAHMOUD A ALDWAKE |
NPI Number: | 1265765804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5501007136 |
Business Practice Address: | 3033 Orchard Vista Suite 311 Grand Rapids Home Health Care Grand Rapids, MI - 495467077 |
Business Phone Number: | 6169579914 |
Business Fax Number: | 6169579900 |
Mailing Address: | 3033 Orchard Vista, Suite 311 Grand Rapids Home Health Care GRAND RAPIDS |
State: | MI |
Postal Code: | 495467077 |
Phone Number: | 6169579914 |
Fax Number: | 6169579900 |
NPI Enumeration Date: | 09/15/2009 |
NPI Last Update Date: | 09/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501007136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |