Provider Demographics
NPI:1558311365
Name:SAKERWALLA, MUSTAFA H (PT,OCS)
Entity type:Individual
Prefix:MR
First Name:MUSTAFA
Middle Name:H
Last Name:SAKERWALLA
Suffix:
Gender:M
Credentials:PT,OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17151 MOUNTAIN CREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2311
Mailing Address - Country:US
Mailing Address - Phone:281-655-8305
Mailing Address - Fax:281-655-8305
Practice Address - Street 1:13611 SKINNER RD
Practice Address - Street 2:SUITE 160
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1771
Practice Address - Country:US
Practice Address - Phone:281-758-2727
Practice Address - Fax:281-758-2929
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11163412251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic