Provider Demographics
NPI:1427064740
Name:NASAB, SAMIRA (OTR/CHT)
Entity type:Individual
Prefix:
First Name:SAMIRA
Middle Name:
Last Name:NASAB
Suffix:
Gender:F
Credentials:OTR/CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 E MAIN ST APT 1M
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1925
Mailing Address - Country:US
Mailing Address - Phone:201-962-8454
Mailing Address - Fax:
Practice Address - Street 1:176 E MAIN ST APT 1M
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1925
Practice Address - Country:US
Practice Address - Phone:201-962-8452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty