Basic Information
Provider Information
NPI: 1487781399
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAIYID NOOR
FirstName: MEHER
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2036 DEMBRIGH LN
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282622554
CountryCode: US
TelephoneNumber: 7049697897
FaxNumber:  
Practice Location
Address1: 710 JULIAN RD
Address2:  
City: SALISBURY
State: NC
PostalCode: 281479079
CountryCode: US
TelephoneNumber: 7046365812
FaxNumber: 7046367269
Other Information
ProviderEnumerationDate: 02/27/2007
LastUpdateDate: 09/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X9175NCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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