Provider Demographics
NPI:1164731642
Name:TEHRANI, MAURA MOLAI
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:MOLAI
Last Name:TEHRANI
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 1:790 E MARKET ST
Mailing Address - Street 2:STE 290
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4806
Mailing Address - Country:US
Mailing Address - Phone:610-696-3305
Mailing Address - Fax:610-696-3306
Practice Address - Street 1:790 E MARKET ST
Practice Address - Street 2:STE 290
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4806
Practice Address - Country:US
Practice Address - Phone:610-696-3305
Practice Address - Fax:610-696-3306
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist