Provider Demographics
NPI:1336151166
Name:ALINDOGAN, SHIRLEY TORRENUEVA (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:TORRENUEVA
Last Name:ALINDOGAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:SHIRLEY
Other - Middle Name:BRIOLA
Other - Last Name:TORRENUEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:43650 FALLEN TREE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-2051
Mailing Address - Country:US
Mailing Address - Phone:586-997-0849
Mailing Address - Fax:586-997-0849
Practice Address - Street 1:43650 FALLEN TREE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-2051
Practice Address - Country:US
Practice Address - Phone:586-997-0849
Practice Address - Fax:586-997-0849
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist