Most Relevant Information
Provider Data
| NPI Number: | 1003280918 |
| Provider Name: | SHIRIN S RAD |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/17/2015 |
| Last Updated: | 11/17/2015 |
Provider Practice Location
345A GREENWOOD ST
SUITE B
WORCESTER
MA
01607
Practice Location Phone/Fax
| Phone: | 5089331878 |
| Fax: |
Provider Mailing Location
6 OAKHURST ST
WORCESTER
MA
016052013
Provider Mailing Phone/Fax
| Phone: | 5089331878 |
| Fax: |