Healthcare Provider Details

I. General information

NPI: 1770231086
Provider Name (Legal Business Name): DOUHA NATOUR DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 S CYPRESS RD
POMPANO BEACH FL
33060-7133
US

IV. Provider business mailing address

6181 NW 6TH ST
MARGATE FL
33063-4524
US

V. Phone/Fax

Practice location:
  • Phone: 954-781-7248
  • Fax:
Mailing address:
  • Phone: 954-812-9073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT38498
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: