Provider Demographics
NPI:1568074730
Name:BIKHOF TORBATY, MAHDIS (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MAHDIS
Middle Name:
Last Name:BIKHOF TORBATY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 BEL AIR DR
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2727
Mailing Address - Country:US
Mailing Address - Phone:201-321-3757
Mailing Address - Fax:
Practice Address - Street 1:127 BEL AIR DR
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-2727
Practice Address - Country:US
Practice Address - Phone:201-321-3757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5463225XN1300X
MA13670225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation