Doctor Name: | MAZOZA MORSI ABDALLAH |
NPI Number: | 1356786545 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T |
License Number: | 05004041A |
Business Practice Address: | 9200 Calumet Ave Suite 401 Munster, IN - 463212885 |
Business Phone Number: | 2195138866 |
Business Fax Number: | 2195138835 |
Mailing Address: | 15826 Rob Roy Dr, OAK FOREST |
State: | IL |
Postal Code: | 604522742 |
Phone Number: | 7086125207 |
Fax Number: | 7083577236 |
NPI Enumeration Date: | 05/01/2013 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05004041A |
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 |