Provider Demographics
NPI:1902310733
Name:RATTANSI, SAIRA MUNAVER (PT,DPT)
Entity Type:Individual
Prefix:
First Name:SAIRA
Middle Name:MUNAVER
Last Name:RATTANSI
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 1:167 VILLA DI ESTE TER UNIT 105
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-1643
Mailing Address - Country:US
Mailing Address - Phone:309-472-1876
Mailing Address - Fax:
Practice Address - Street 1:167 VILLA DI ESTE TER UNIT 105
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-1643
Practice Address - Country:US
Practice Address - Phone:309-740-0521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30339225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist