Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175M00000X | Lay Midwife | ||
N | 225400000X | Rehabilitation Practitioner | ||
Y | 225700000X | Massage Therapist | MT11778 | AZ |
N | 226300000X | Kinesiotherapist |
NPI | 1801190236 |
---|---|
Provider Name | Amin Kasim Abdulrahman |
First Address | Tucson, AZ 85716-2046 |
Second Address | Tucson, AZ 85716-2046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2010 |
Last Update Date | 28/12/2010 |