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NPI Code Detail

MEDICARE: ANNA ABDURAKHMANOVA PHYSICAL THERAPIST

MEDICARE:   ANNA  ABDURAKHMANOVA  PHYSICAL THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist17782MA

General Provider Information

NPI Number : 1588781827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA ABDURAKHMANOVA PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 57 BEDFORD ST STE 202
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-4550
Country : US
Telephone Number : 781-541-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 03/06/2025

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Directions to “ ANNA ABDURAKHMANOVA PHYSICAL THERAPIST” Practice Location

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