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

DR. AHMAD REZA BEHROUZI, DPT

Active Sole Proprietor

Specialist · LA PORTE, IN

Registration Details

NPI Number
1558567255
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2007 (18.861376366895 yrs)
Last Updated
Aug 21, 2009
License
05006696A (IN)
Sole Proprietor
Yes

Practice Information

Address
1007 LINCOLNWAY
LA PORTE, IN, 463503201
Browse IN providers · Browse ZIP 46350
Phone
2193262391
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LA PORTE, IN

Name Credential NPI
MRS. PATRICE A. FREESTONE H.I.S. 1265545032
PAUL SHYPOSKI PT 1164627980
KEN MONAHAN OTR 1255536975
MRS. STEPHANIE ANNE GEHLHAUSEN MSPT 1174729552
LOIS ANN STOCKWELL COTA 1659577096
MS. BONNIE MEVIS MPT 1992901763
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.