Basic Information
| Provider Information | |||||||||
| NPI: | 1972760981 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ABDULHALIM | ||||||||
| FirstName: | HANAH | ||||||||
| MiddleName: | KAISSER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3605 CUMBERLAND CREEK RD APT 107 | ||||||||
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| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276133959 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193898710 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4230 N ROXBORO ST | ||||||||
| Address2: | |||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277041826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9194779805 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2008 | ||||||||
| LastUpdateDate: | 05/19/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 8501 | NC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.