Provider Demographics
NPI:1366220816
Name:YOUR WELLNESS PHYSICAL THERAPY LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:YOUR WELLNESS PHYSICAL THERAPY LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARAFAT
Authorized Official - Suffix:
Authorized Official - Credentials:ENGINEER
Authorized Official - Phone:832-876-8902
Mailing Address - Street 1:2314 PIN HOOK CT
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-3348
Mailing Address - Country:US
Mailing Address - Phone:832-876-8862
Mailing Address - Fax:
Practice Address - Street 1:2314 PIN HOOK CT
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-3348
Practice Address - Country:US
Practice Address - Phone:832-876-8862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty