NPI 1083990659

Simon Effat Ibrahim, PTA

Practitioner Physical Therapy Assistant Chattanooga, TN

Practice location

Address: 1480 E 3rd St, Chattanooga, TN 37404-2434
Phone: (423) 622-2459
Mailing address: 8823 Production Ln, Ooltewah, TN 37363-6511

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA3597 (TN)

Other Physical Therapy Assistant providers in Tennessee →

Registry record

NPI: 1083990659
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2011
Record last updated: 27 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.