Doctor Name: | EMAD LIBIB SAMUEL |
NPI Number: | 1871748822 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | PT14295 |
Business Practice Address: | 16621 Carousel Ln Huntington Beach, CA - 926492117 |
Business Phone Number: | 7146426754 |
Business Fax Number: | 7148406403 |
Mailing Address: | 16621 Carousel Ln, HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926492117 |
Phone Number: | 7146426754 |
Fax Number: | 7148406403 |
NPI Enumeration Date: | 11/18/2008 |
NPI Last Update Date: | 11/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT14295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |