Healthcare Provider Details

I. General information

NPI: 1831493071
Provider Name (Legal Business Name): ABE DEHBI PHYSICAL THERAPIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2011
Last Update Date: 01/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 MONTGOMERY RD
ALTAMONTE SPRINGS FL
32714-6830
US

IV. Provider business mailing address

289 SAN GABRIEL ST
WINTER SPRINGS FL
32708-5800
US

V. Phone/Fax

Practice location:
  • Phone: 407-682-1057
  • Fax:
Mailing address:
  • Phone: 407-920-8296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number21698
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: