Provider Demographics
NPI:1821098385
Name:BEHESHTI, ZAHRA (PT EDD)
Entity Type:Individual
Prefix:DR
First Name:ZAHRA
Middle Name:
Last Name:BEHESHTI
Suffix:
Gender:F
Credentials:PT EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EWING ST
Mailing Address - Street 2:STE C2
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2757
Mailing Address - Country:US
Mailing Address - Phone:609-497-2300
Mailing Address - Fax:609-683-5615
Practice Address - Street 1:601 EWING ST
Practice Address - Street 2:STE C2
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2757
Practice Address - Country:US
Practice Address - Phone:609-497-2300
Practice Address - Fax:609-683-5615
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJBE647713Medicare ID - Type Unspecified