Manal Abdulwahb
Individual provider Active NPI Physical Therapist · Tucker, GA
NPI 1003743436 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1003743436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT017609 (GA)
- Practice address
- 4161 Spring Valley Cir
Tucker, GA 30084-1106 - Phone
- (770) 906-1026
- NPI assigned
- May 7, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017609 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017609 | GA | Yes |
Addresses
Primary practice location
4161 Spring Valley Cir
Tucker, GA 30084-1106
Mailing address
4161 Spring Valley Cir
Tucker, GA 30084-1106
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.