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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HOSSAM IDRISSI BOUCTEB

Active

HOSSAM IDRISSI BOUCTEB is a Physical Therapy Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1164178372 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RALEIGH, NC

Registration Details

NPI Number
1164178372
Provider Type
Individual
Gender
Male
NPI Issued
Feb 25, 2022 (4.4795345083847 yrs)
Last Updated
Aug 15, 2023
License
P21044 (NC)

Practice Information

Address
4109 WAKE FOREST RD STE 200
RALEIGH, NC, 276096262
Browse NC providers · Browse ZIP 27609
Phone
9193220042
Fax
9193220041
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in RALEIGH, NC

Name Credential NPI
MRS. CATHERINE E TOWNSEND PT 1164424271
POLLY MARIE NELSON P.T. 1245225432
MR. KENNETH P STACK PT,MS,CSCS 1346230489
JOHN PAUL QUINN PT, DPT 1528044013
MR. DOUGLAS JOSEPH HOLCZER PT 1003892365
MRS. MICHELLE D BEVIL PT, DPT 1669452876
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.