Provider Demographics
NPI:1740009703
Name:PROJECT HEALTH PHYSICAL THERAPY AND WELLNESS LLC
Entity type:Organization
Organization Name:PROJECT HEALTH PHYSICAL THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ABDULRAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-615-3518
Mailing Address - Street 1:3638 BUCKEYE CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1254
Mailing Address - Country:US
Mailing Address - Phone:917-615-3518
Mailing Address - Fax:
Practice Address - Street 1:4401 FAIR LAKES CT # 304
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3805
Practice Address - Country:US
Practice Address - Phone:917-615-3518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty