Provider Demographics
NPI:1689143141
Name:HANDY, RASHIDA EBRAHIM (PT, MPT, MS)
Entity Type:Individual
Prefix:MRS
First Name:RASHIDA
Middle Name:EBRAHIM
Last Name:HANDY
Suffix:
Gender:F
Credentials:PT, MPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 HIGHMOOR WAY
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1958
Mailing Address - Country:US
Mailing Address - Phone:248-219-4772
Mailing Address - Fax:
Practice Address - Street 1:1401 HIGHMOOR WAY
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1958
Practice Address - Country:US
Practice Address - Phone:248-219-4772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2033526225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist