HOSSAM IDRISSI BOUCTEB

RALEIGH, NC
NPI1164178372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  P21044)
Enumeration Date2022-02-25
Last Update Date2023-08-15
Business Address
HOSSAM IDRISSI BOUCTEB
4109 WAKE FOREST RD STE 200
RALEIGH, NC 27609-6262
Phone number: 919-322-0042
Mailing Address
HOSSAM IDRISSI BOUCTEB
504 HYANNIS DR
HOLLY SPRINGS, NC 27540-8331
Phone number: 919-633-2324