Vidisha Shah MPT

NPI 1003152265 - Physical Therapist - 225100000X

NPI Details
NPI 1003152265
Gender Female
Enumeration Date 12/17/2012
Last Updated 03/26/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
525 NEPTUNE AVENUE LOBBY
BROOKLYN NY, 11224, US
Phone (718) 513-0295
Fax
Business Location
8614 143RD ST
BRIARWOOD NY, 11435, US
Phone (626) 202-3596
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 035781
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According to our database, Vidisha Shah MPT NPI is 1003152265, taxonomy code is 225100000X and license number is 035781, license state is located at New York. Vidisha Shah MPT physically located at 525 Neptune Avenue Lobby, Brooklyn NY, 11224. NPI Number Vidisha Shah MPT has the Individual type.

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1003152265 NPI number is provided on an as is basis without warranty of any kind. 1003152265 is maintained by the National Plan & Provider Enumeration System. The contents of Vidisha Shah MPT are for informational purposes only.