Provider Demographics
NPI:1790870509
Name:SHNAPIR FALK, INNA (MSPT)
Entity Type:Individual
Prefix:MS
First Name:INNA
Middle Name:
Last Name:SHNAPIR FALK
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-0068
Mailing Address - Country:US
Mailing Address - Phone:781-784-2137
Mailing Address - Fax:
Practice Address - Street 1:210 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1276
Practice Address - Country:US
Practice Address - Phone:781-784-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11506225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y68104OtherBCBS
626430OtherHARVARD PILGRIM HEALTH CA
MA0704067Medicaid
Y68104OtherBCBS