Provider Demographics
NPI:1174072110
Name:ZAMAN, SHIRIN (PT)
Entity type:Individual
Prefix:
First Name:SHIRIN
Middle Name:
Last Name:ZAMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5877 ORCHARD WOODS DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-3276
Mailing Address - Country:US
Mailing Address - Phone:248-802-5558
Mailing Address - Fax:313-202-8224
Practice Address - Street 1:8326 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-4617
Practice Address - Country:US
Practice Address - Phone:248-802-5558
Practice Address - Fax:313-202-5558
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5501002368225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist