Individual provider · NPI-1

Ahmed Aly Sayed Aly

Physical Therapist · Lawrenceville, GA

NPI number1407248263
StatusActive
Last updated in NPPESOct 25, 2021

Details

NPI
1407248263
Entity type
Individual (NPI-1)
Name
Ahmed Aly Sayed Aly
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 3, 2015
Certification date
Oct 25, 2021
Last updated
Oct 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT012383GAYes
225100000X Physical Therapist037492-1NY

Practice location

1165 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043-8741

Phone 678-761-1280 · Fax 678-550-9728

Mailing address

1455 Ox Bridge Way
Lawrenceville, GA 30043-5403

Phone 860-574-2163

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