Individual
ANDREA COX SHUKLA
Active
Individual
ANDREA COX SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT0001305
PA
225100000X
Physical Therapist
Primary
PT016337
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098790U30
MEDICARE
PA
Enumeration date
06/26/2006
Last updated
10/15/2009
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