Fadi Fred Aboulhosn, PT

Individual provider Active NPI Physical Therapist · Carefree, AZ

NPI 1376893115 · NPPES record last updated Sep 19, 2012

Key facts

NPI
1376893115
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
9945 (AZ)
Practice address
7208 E. Cave Creek Rd
Suite H
Carefree, AZ 85377-5924
Phone
(480) 488-9095
Fax
(480) 488-2862
NPI assigned
Sep 19, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
9945AZMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9945 AZ Yes

Addresses

Primary practice location

7208 E. Cave Creek Rd
Suite H
Carefree, AZ 85377-5924

Mailing address

PO Box 5924
Carefree, AZ 85377-5924
Phone (480) 488-9095

Other providers in Carefree, AZ

All providers in Carefree, AZ · Physical Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.