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NPI Code Detail

MEDICARE: SAWSAN B OMER

MEDICARE:   SAWSAN B OMER
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 TherapistPT41417FL
2225100000XPhysical TherapistPT032923PA

General Provider Information

NPI Number : 1871397968
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAWSAN B OMER
Provider Business Mailing Address
First Line : 6451 OXFORD AVE APT D115
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-5379
Country : US
Telephone Number : 215-626-5249
Fax Number :
Provider Business Practice Location Address
First Line : 6031 RISING SUN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-6008
Country : US
Telephone Number : 267-538-5011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2025
Last Update Date : 04/01/2025

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Directions to “ SAWSAN B OMER ” Practice Location

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