Provider Demographics
NPI:1871676387
Name:HABIB, NAUREEN (PT, DPT, MHS)
Entity Type:Individual
Prefix:
First Name:NAUREEN
Middle Name:
Last Name:HABIB
Suffix:
Gender:F
Credentials:PT, DPT, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 GLASTONBURY ST
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-9124
Mailing Address - Country:US
Mailing Address - Phone:219-308-2265
Mailing Address - Fax:219-934-9102
Practice Address - Street 1:325 GLASTONBURY ST
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-9124
Practice Address - Country:US
Practice Address - Phone:219-308-2265
Practice Address - Fax:219-934-9102
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05003716A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist