Provider Demographics
NPI:1972715746
Name:RAMADAN, MOHAMED FARID (LICENSE PHYSICAL THE)
Entity type:Individual
Prefix:MR
First Name:MOHAMED
Middle Name:FARID
Last Name:RAMADAN
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Gender:M
Credentials:LICENSE PHYSICAL THE
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Mailing Address - Street 1:9908 LAKEPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015
Mailing Address - Country:US
Mailing Address - Phone:703-503-1284
Mailing Address - Fax:703-503-1284
Practice Address - Street 1:5501 BACKLICK ROAD
Practice Address - Street 2:ALLIANCE REHAB & PHYSICAL THERAPY
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22051
Practice Address - Country:US
Practice Address - Phone:703-750-1204
Practice Address - Fax:703-750-1206
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA2306601454225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist