Provider Demographics
NPI:1194991638
Name:CHAIK-OUGHLI, MAHER (LPTA)
Entity type:Individual
Prefix:MR
First Name:MAHER
Middle Name:
Last Name:CHAIK-OUGHLI
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 N HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-2110
Mailing Address - Country:US
Mailing Address - Phone:704-864-0371
Mailing Address - Fax:704-853-0983
Practice Address - Street 1:416 N HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-2110
Practice Address - Country:US
Practice Address - Phone:704-864-0371
Practice Address - Fax:704-853-0983
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1146225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant