Healthcare Provider Details

I. General information

NPI: 1548196694
Provider Name (Legal Business Name): SABURA SHIFFRIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 BRYAN ST
DREXEL HILL PA
19026-1801
US

IV. Provider business mailing address

1017 BRYAN ST
DREXEL HILL PA
19026-1801
US

V. Phone/Fax

Practice location:
  • Phone: 610-608-8902
  • Fax:
Mailing address:
  • Phone: 610-608-8902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT028085
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: