Provider Demographics
NPI:1083640312
Name:ELMEHEY, EHAB M (PT)
Entity Type:Individual
Prefix:
First Name:EHAB
Middle Name:M
Last Name:ELMEHEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6632 COYOTE ST
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3934
Mailing Address - Country:US
Mailing Address - Phone:909-606-4849
Mailing Address - Fax:
Practice Address - Street 1:6632 COYOTE ST
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-3934
Practice Address - Country:US
Practice Address - Phone:909-606-4849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT19368225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist