Provider Demographics
NPI:1093539678
Name:PHYZ EX THERAPY
Entity type:Organization
Organization Name:PHYZ EX THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:YAMAN
Authorized Official - Last Name:ALLAF
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:786-766-0024
Mailing Address - Street 1:7050 NW 4TH ST STE 302
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2247
Mailing Address - Country:US
Mailing Address - Phone:786-766-0024
Mailing Address - Fax:
Practice Address - Street 1:7050 NW 4TH ST STE 302
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2247
Practice Address - Country:US
Practice Address - Phone:786-766-0024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty