MEDICARE: STEPHANIE WAHAD

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
1	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1760932743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE WAHAD

Provider Business Mailing Address
First Line	:	867 SAINT GEORGES AVE
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-2676
Country	:	US
Telephone Number	:	732-428-4008
Fax Number	:

Provider Business Practice Location Address
First Line	:	867 SAINT GEORGES AVE
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-2658
Country	:	US
Telephone Number	:	732-428-4008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2016
Last Update Date	:	04/10/2026

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Directions to “ STEPHANIE WAHAD ” Practice Location

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