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1871218164
BAHER BASSAM WAHBA
ORMOND BEACH, FL
NPI
1871218164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT39459)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
BAHER BASSAM WAHBA DPT
739A S NOVA RD
ORMOND BEACH, FL 32174-7332
Phone number: 386-671-2626
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Mailing Address
BAHER BASSAM WAHBA DPT
7851 SPIRIT LN
WINTER PARK, FL 32792-9326
Phone number:
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