Provider Demographics
NPI:1992065684
Name:HASSAN, SURINDER KAUR
Entity type:Individual
Prefix:
First Name:SURINDER
Middle Name:KAUR
Last Name:HASSAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 CARRAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-7712
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10820 PENNY RD
Practice Address - Street 2:APT 113
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-1916
Practice Address - Country:US
Practice Address - Phone:919-303-7068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist