Provider Demographics
NPI:1477629327
Name:SALEH, YAZEED FOUAD (MSRPT)
Entity Type:Individual
Prefix:MR
First Name:YAZEED
Middle Name:FOUAD
Last Name:SALEH
Suffix:
Gender:M
Credentials:MSRPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2098 HENLEY PL
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-7757
Mailing Address - Country:US
Mailing Address - Phone:561-352-6199
Mailing Address - Fax:561-790-2094
Practice Address - Street 1:2098 HENLEY PL
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-7757
Practice Address - Country:US
Practice Address - Phone:561-352-6199
Practice Address - Fax:561-352-6199
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT107182251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic