| NPI | 1851053722 |
|---|---|
| Other Name | EISSAM GEORGE FARRAJ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-06-04 |