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Organization
NEHA SHAH PT INC
Active
Organization
NEHA SHAH PT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEHA SHAH PT (PRESIDENT)
(818) 634-0376
Entity
Organization
Contact information
Practice address
544 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4622
(323) 655-8528
(323) 677-2123
Mailing address
2633 LINCOLN BLVD, 136, SANTA MONICA, CA 90405-4619
(818) 634-0376
(323) 677-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28974
CA
Other
Enumeration date
05/16/2014
Last updated
05/29/2020
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