Doctor Name: | SHAHEEN SIDDIQUI |
NPI Number: | 1154550457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.P.T. |
License Number: | 6170 |
Business Practice Address: | 3048 E Baseline Rd 125 Mesa, AZ - 852047286 |
Business Phone Number: | 4802220655 |
Business Fax Number: | 4802221457 |
Mailing Address: | Po Box 269084, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731269084 |
Phone Number: | 6233988072 |
Fax Number: | 6233988235 |
NPI Enumeration Date: | 07/08/2009 |
NPI Last Update Date: | 09/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |