Individual
HETALBEN ASHISH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
289 WOODSTONE CIR, BUFFALO GROVE, IL 60089-6702
(224) 436-4489
Mailing address
289 WOODSTONE CIR, BUFFALO GROVE, IL 60089-6702
(224) 436-4489
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
030661
NY
225100000X
Physical Therapist
Primary
070021972
IL
Other
Enumeration date
01/26/2016
Last updated
11/10/2021
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