| Ennis Khaleq, PT | |
|
64870 La Costa Ct, Desert Hot Springs, CA 92240-1415 | |
| (714) 605-3698 | |
| (866) 225-9947 |
| Full Name | Ennis Khaleq |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 64870 La Costa Ct, Desert Hot Springs, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073325437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 303179 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ennis Khaleq, PT 69472 Serenity Rd, Cathedral City, CA 92234-7921 Ph: (760) 409-6383 | Ennis Khaleq, PT 64870 La Costa Ct, Desert Hot Springs, CA 92240-1415 Ph: (714) 605-3698 |
Raemar V Coloma, Physical Therapist Medicare: Medicare Enrolled Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 | |
David Frank Salas Jr., PT DPT CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 Fax: 760-671-4798 | |
Brian Andrew Roath, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 Fax: 760-671-4798 |