Provider Demographics
NPI:1851165443
Name:SKILLED WAYS OF PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:SKILLED WAYS OF PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALWALED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELROHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-238-6162
Mailing Address - Street 1:946 MAIN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-1123
Mailing Address - Country:US
Mailing Address - Phone:718-238-6162
Mailing Address - Fax:718-333-5927
Practice Address - Street 1:946 MAIN ST APT 2
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1123
Practice Address - Country:US
Practice Address - Phone:718-238-6162
Practice Address - Fax:718-333-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty