Shirdan, Taraya J

Shirdan, Taraya J is an individual health care provider with primary practice located at 3300 Township Line Rd Suite 102, Drexel Hill PA 19026-1925. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Shirdan, Taraya J can be contacted via phone (610) 853-9919.

Contact Information

Primary practice address
3300 Township Line Rd Suite 102 Drexel Hill PA 19026-1925
Phone: (610) 853-9919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1386952984
LBN Legal business name Shirdan, Taraya J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2010
Last updated Sep 16th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386952984 NPPES
Pennsylvania MEDICAID 001933239

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