Mohammed Ata
Mohammed Ata is a Physical Therapist in Jacksonville, Florida. Licensed in Florida and New York. Registered with an NPI since 2019.
- Licensed in
- FL, NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
10550 Deerwood Park Blvd Ste 609AJacksonville, FL 32256-2811
Phone: (904) 513-3954
Fax: (904) 212-0223
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT38543 (FL) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 040796 (NY) |
Record details
| NPI number | 1053971119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 19, 2019 |
| Last updated in NPPES | June 18, 2024 |
| Certification date | June 18, 2024 |
| Mailing address | 11949 Canterwood Dr N, Jacksonville, FL 32246-9368 |
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