Omar Ibreak

NPI #1639715931 in Brookhaven, Georgia

Provider Information

NPI Number: 1639715931
Entity Type: Individual
Name: Omar Ibreak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 21, 2019
Last Updated: Nov 21, 2019

Practice Location

Address: 3575 DURDEN DR NE
City: Brookhaven
State: Georgia
ZIP Code: 30319-2253
Phone: (404) 469-9005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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