SIMON EFFAT IBRAHIM

CHATTANOOGA, TN
NPI1083990659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  PTA3597)
Enumeration Date2011-10-27
Last Update Date2011-10-27
Business Address
-- SIMON EFFAT IBRAHIM PTA
1480 E 3RD ST
CHATTANOOGA, TN 37404-2434
Phone number: 423-622-2459
Mailing Address
-- SIMON EFFAT IBRAHIM PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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