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NPI Code Detail

MEDICARE: HEIDI ALSALEH

MEDICARE:   HEIDI  ALSALEH
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 TherapistPT20742MD
2225100000XPhysical Therapist2200ME

General Provider Information

NPI Number : 1649397472
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI ALSALEH
Provider Business Mailing Address
First Line : 1902 BELMONT TER
Second Line :
City : GWYNN OAK
State : MD
Zip : 21207-4107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7700 YORK RD
Second Line :
City : TOWSON
State : MD
Zip : 21204-7513
Country : US
Telephone Number : 410-821-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2007
Last Update Date : 07/08/2007

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Directions to “ HEIDI ALSALEH ” Practice Location

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