ELIAS BOUSHEH
Physical Therapist
Active
Individual
NPI: 1902376239
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | No | - |
| Physical Therapist | 225100000X | Yes | 070027717 (IL) |
Frequently Asked Questions
NPI 1902376239 is the National Provider Identifier for ELIAS BOUSHEH, a Physical Therapist provider located in Decatur, IL. This NPI was enumerated on November 29, 2018.
ELIAS BOUSHEH practices at 5255 E MARYLAND ST, Decatur, IL 62521.
Quick Facts
- NPI
- 1902376239
- Type
- Individual
- Enumerated
- Nov 29, 2018
- Last Updated
- Sep 15, 2023
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