Basic Information
Provider Information
NPI: 1154696540
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DHIR
FirstName: SHEFALI
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1660 W RANDOL MILL RD
Address2:  
City: ARLINGTON
State: TX
PostalCode: 760123035
CountryCode: US
TelephoneNumber: 8174614257
FaxNumber: 8174614865
Practice Location
Address1: 413 W BETHEL RD STE 400
Address2:  
City: COPPELL
State: TX
PostalCode: 75019
CountryCode: US
TelephoneNumber: 9723049100
FaxNumber: 9723049048
Other Information
ProviderEnumerationDate: 03/19/2012
LastUpdateDate: 08/27/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1214739TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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