Kanikkai Steni Balan Sackiriyas, DSc
Physical Therapist in Sunrise, FL. Individual provider (NPI-1).
NPI number1346672003
StatusActive
Last updated in NPPESAug 5, 2013
Details
- NPI
- 1346672003
- Entity type
- Individual (NPI-1)
- Name
- Kanikkai Steni Balan Sackiriyas
- Credential
- DSc
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2013
- Last updated
- Aug 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 034920 | NY | Yes |
| 225100000X | Physical Therapist | 2305207892 | VA |
Practice location
1580 Sawgrass Corporate PkwySuite 100
Sunrise, FL 33323-2859
Phone 800-886-8108 · Fax 866-422-6431
Mailing address
4011 N Pine Island RdShamrock Apartments, Apt 304
Sunrise, FL 33351-6520
Phone 909-991-5445
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