Provider Demographics
NPI:1063911444
Name:DARGAHI, CIARA ANN (ATC MS)
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:ANN
Last Name:DARGAHI
Suffix:
Gender:F
Credentials:ATC MS
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Other - Credentials:
Mailing Address - Street 1:1038 KANGDING ROAD
Mailing Address - Street 2:BUILDING 2 APARTMENT 301
Mailing Address - City:JING'AN
Mailing Address - State:SHANGHAI
Mailing Address - Zip Code:200000
Mailing Address - Country:CN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NO. 161 LUJIAZUI EAST ROAD
Practice Address - Street 2:ROOM 2318
Practice Address - City:PUDONG
Practice Address - State:SHANGHAI
Practice Address - Zip Code:200120
Practice Address - Country:CN
Practice Address - Phone:314-409-1534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer