Provider Demographics
NPI:1811322688
Name:KADIRI, MORIAM O (PT, DPT)
Entity type:Individual
Prefix:
First Name:MORIAM
Middle Name:O
Last Name:KADIRI
Suffix:
Gender:F
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 1:19211 DESERT CALICO LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2561
Mailing Address - Country:US
Mailing Address - Phone:713-446-0075
Mailing Address - Fax:
Practice Address - Street 1:6300 WESTPARK DR
Practice Address - Street 2:212
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7205
Practice Address - Country:US
Practice Address - Phone:713-339-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1149029225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist