Moura Ibrahim, DPT | |
500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086-7542 | |
(201) 272-9400 | |
Not Available |
Full Name | Moura Ibrahim |
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Gender | Female |
Speciality | Physical Therapist |
Location | 500 Ave At Port Imperial Blvd Ste 110, Weehawken, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497438287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02196000 (New Jersey) | Primary |
Provider Name | Twin Boro Physical Therapy Associates, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811937527 PECOS PAC ID: 8527962950 Enrollment ID: O20031126000193 |
Provider Name | Pro Staff Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265750871 PECOS PAC ID: 4385826064 Enrollment ID: O20110317000124 |
Provider Name | Port Imperial Therapy Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679019996 PECOS PAC ID: 3779841333 Enrollment ID: O20180103001859 |
Mailing Address | Practice Location Address |
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Moura Ibrahim, DPT 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086-7542 Ph: (201) 272-9400 | Moura Ibrahim, DPT 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086-7542 Ph: (201) 272-9400 |
Elizabeth Mancini, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 | |
Elizabeth Kwon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 | |
Kristina Mueller, Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 | |
Douglas Wallace, Physical Therapist Medicare: Medicare Enrolled Practice Location: 36 Hudson Pl, Weehawken, NJ 07086 Phone: 201-522-6474 | |
Jaclyn H Fulop, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 Fax: 201-272-9402 | |
Andrew Pearson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4100 Park Ave Ste 8b, Weehawken, NJ 07086 Phone: 201-271-0800 |