Provider Demographics
NPI:1861076663
Name:SHOBEIRI, NAZANIN SADET (PT)
Entity type:Individual
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First Name:NAZANIN
Middle Name:SADET
Last Name:SHOBEIRI
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Gender:F
Credentials:PT
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Mailing Address - Street 1:795 FARMERS LN STE 10
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-6718
Mailing Address - Country:US
Mailing Address - Phone:707-571-7615
Mailing Address - Fax:707-571-8601
Practice Address - Street 1:6574 OAKMONT DR STE A
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95409-5958
Practice Address - Country:US
Practice Address - Phone:707-539-5256
Practice Address - Fax:707-539-7914
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic