Individual
MS. JYOTI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
519 KEISLER DR., STE# 204, CARY, NC 27518-7098
(919) 851-1164
(919) 851-1196
Mailing address
112 ANNANDALE DR, CARY, NC 27511-6502
(919) 851-1164
(919) 851-1196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5110
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078M1
BCBS
NC
05
—
7211311
—
NC
Enumeration date
12/08/2006
Last updated
06/08/2023
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