Provider Demographics
NPI:1275072910
Name:SHAKIR, SAKINA
Entity Type:Individual
Prefix:
First Name:SAKINA
Middle Name:
Last Name:SHAKIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAKINA
Other - Middle Name:
Other - Last Name:DALAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:449 HIGH RD
Mailing Address - Street 2:APT B2
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7780
Mailing Address - Country:US
Mailing Address - Phone:908-922-8579
Mailing Address - Fax:
Practice Address - Street 1:449 HIGH RD
Practice Address - Street 2:APT B2
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020
Practice Address - Country:US
Practice Address - Phone:908-922-8579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT024764225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist