Doctor Name: | SHAIRA ROSE |
NPI Number: | 1033170642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T., C.H.T. |
License Number: | 40QA00709600 |
Business Practice Address: | 153 Prospect St Ridgewood, NJ - 074504405 |
Business Phone Number: | 2014441444 |
Business Fax Number: | |
Mailing Address: | 153 Prospect St, RIDGEWOOD |
State: | NJ |
Postal Code: | 074504405 |
Phone Number: | 2014441444 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00709600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |