Provider Demographics
NPI:1225773690
Name:PRO MOBILITY INCORPORATED
Entity Type:Organization
Organization Name:PRO MOBILITY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABOZEID
Authorized Official - Suffix:
Authorized Official - Credentials:GCS
Authorized Official - Phone:917-607-6046
Mailing Address - Street 1:3-15 PLAZA RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3844
Mailing Address - Country:US
Mailing Address - Phone:917-607-6046
Mailing Address - Fax:
Practice Address - Street 1:3-15 PLAZA RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3844
Practice Address - Country:US
Practice Address - Phone:917-607-6046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty