Shabnam N Thanawala, PT

NPI #1235228800 in Nesconcet, New York

Provider Information

NPI Number: 1235228800
Entity Type: Individual
Name: Shabnam N Thanawala, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 12, 2006
Last Updated: Mar 29, 2016

Practice Location

Address: 276 SMITHTOWN BLVD
City: Nesconcet
State: New York
ZIP Code: 11767
Phone: (631) 656-5355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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