Doctor Name: | MISS SHIRINE PATRISHA DABIRI |
NPI Number: | 1245460583 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 008469 |
Business Practice Address: | 60 West St Rocky Hill, CT - 060673518 |
Business Phone Number: | 8605292521 |
Business Fax Number: | |
Mailing Address: | 248 Inverness Ln, LONGMEADOW |
State: | MA |
Postal Code: | 011062822 |
Phone Number: | 4135676118 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2009 |
NPI Last Update Date: | 07/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 008469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |