Individual
MRS. HEATHER RENAE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3000 CENTERPOINT PKWY, PONTIAC, MI 48341-3116
(248) 857-6776
(248) 857-7102
Mailing address
5810 FARMINGTON RD, WEST BLOOMFIELD, MI 48322-1566
(619) 787-5819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2000146906
MO
225100000X
Physical Therapist
Primary
5501015693
MI
Other
Enumeration date
05/29/2008
Last updated
04/23/2018
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