Provider Demographics
NPI:1427683135
Name:ABDEL-QADER, HANI A (DPT)
Entity type:Individual
Prefix:DR
First Name:HANI
Middle Name:A
Last Name:ABDEL-QADER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 KEELY LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-3062
Mailing Address - Country:US
Mailing Address - Phone:941-380-6110
Mailing Address - Fax:
Practice Address - Street 1:1704 KEELY LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-3062
Practice Address - Country:US
Practice Address - Phone:941-380-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10929225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist