Provider Demographics
NPI:1306028931
Name:ALHANTI, BRIAN EVAN (PT)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:EVAN
Last Name:ALHANTI
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 1:5011 NW 125TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3448
Mailing Address - Country:US
Mailing Address - Phone:954-254-1045
Mailing Address - Fax:
Practice Address - Street 1:5011 NW 125TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3448
Practice Address - Country:US
Practice Address - Phone:954-254-1045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist