Doctor Name: | MRS. IRIS BASHAN |
NPI Number: | 1104830066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501012361 |
Business Practice Address: | 7057 Dexter Ann Arbor Rd T Herrlinger & Assoc Dexter, MI - 48130 |
Business Phone Number: | 7344263768 |
Business Fax Number: | 7344261406 |
Mailing Address: | 42615 Garfield Road, CLINTON TOWNSHIP |
State: | MI |
Postal Code: | 48038 |
Phone Number: | 5864122646 |
Fax Number: | 5864127087 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501012361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |