Provider Demographics
NPI:1780438747
Name:SAWIRIS, PHILOBATEER MAGED (PT, DPT)
Entity type:Individual
Prefix:
First Name:PHILOBATEER
Middle Name:MAGED
Last Name:SAWIRIS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 BAINBRIDGE ST APT 136
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2384
Mailing Address - Country:US
Mailing Address - Phone:540-470-8222
Mailing Address - Fax:
Practice Address - Street 1:206 TWINRIDGE LN STE A
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-5200
Practice Address - Country:US
Practice Address - Phone:804-764-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist