Healthcare Provider Details

I. General information

NPI: 1699604801
Provider Name (Legal Business Name): MARYAM HOSSEINI SABET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 NASHUA RD
PEPPERELL MA
01463-1404
US

IV. Provider business mailing address

96 NASHUA RD
PEPPERELL MA
01463-1404
US

V. Phone/Fax

Practice location:
  • Phone: 603-438-0488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number8488
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: