Individual provider · NPI-1

Ibrahim Chaz Abdullah, D.P.T.

Physical Therapist · Baltimore, MD

NPI number1104088368
StatusActive
Last updated in NPPESDec 18, 2023

Details

NPI
1104088368
Entity type
Individual (NPI-1)
Name
Mr. Ibrahim Chaz Abdullah
Credential
D.P.T.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2008
Certification date
Dec 18, 2023
Last updated
Dec 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist22590MDYes

Practice location

6328 Islington St
Baltimore, MD 21220-2166

Phone 410-686-2270

Mailing address

6328 Islington St
Baltimore, MD 21220-2166

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