Provider Demographics
NPI:1750754149
Name:SALEH, MOHAMED YAZEED (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:YAZEED
Last Name:SALEH
Suffix:
Gender:M
Credentials:PT, DPT
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:561-601-4761
Mailing Address - Fax:
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:561-601-4761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30794225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist