Provider Demographics
NPI:1922380724
Name:SLIFFMAN, SHIRA (MS)
Entity Type:Individual
Prefix:
First Name:SHIRA
Middle Name:
Last Name:SLIFFMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 BUTTERNUT ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1930
Mailing Address - Country:US
Mailing Address - Phone:202-243-8942
Mailing Address - Fax:202-722-7212
Practice Address - Street 1:612 BUTTERNUT ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1930
Practice Address - Country:US
Practice Address - Phone:202-243-8942
Practice Address - Fax:202-722-7212
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005250225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist