| NPI | 1760633721 |
|---|---|
| Former Name | TALA FAKHOURI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070016735) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: IL 070016735) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070016735) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2021-04-22 |