Provider Demographics
NPI:1144781147
Name:MORBIWALA, SAKINA AKBARALI
Entity Type:Individual
Prefix:
First Name:SAKINA
Middle Name:AKBARALI
Last Name:MORBIWALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 SHETLAND RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-1788
Mailing Address - Country:US
Mailing Address - Phone:630-303-7534
Mailing Address - Fax:
Practice Address - Street 1:1819 SHETLAND RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-1788
Practice Address - Country:US
Practice Address - Phone:630-303-7534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-31
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
IL070012808225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist