Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1063871549 |
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| LBN Legal business name | KT MEDICAL HEALTHCARE PC | ||||
| Authorized official | KAMAL TADROS - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/12/2016 | ||||
| Last updated | 02/12/2016 - About 10 years ago | ||||
| Identifiers |
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KT MEDICAL HEALTHCARE PC
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