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1104022599
EMAD R ISHAK
LAKE WORTH, FL
NPI
1104022599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT0008047)
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
Mr. EMAD R ISHAK RPT
7491 RIDGEFIELD LN
LAKE WORTH, FL 33467-7329
Phone number: 561-436-9595
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Mailing Address
Mr. EMAD R ISHAK RPT
10288 HUNT CLUB LN
PALM BEACH GARDENS, FL 33418-4577
Phone number: 561-630-3729
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