| Doctor Name: | FATEMEH SHIRVANI |
| NPI Number: | 1598093346 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICAL THERAPY |
| License Number: | 29119 |
| Business Practice Address: | 4601 Dale Rd Modesto, CA - 953569718 |
| Business Phone Number: | 2097355000 |
| Business Fax Number: | 2094763355 |
| Mailing Address: | 2212 N Quincy Rd, TURLOCK |
| State: | CA |
| Postal Code: | 953828116 |
| Phone Number: | 2096209119 |
| Fax Number: | 2096342740 |
| NPI Enumeration Date: | 12/04/2009 |
| NPI Last Update Date: | 12/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 29119 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |