Individual
SANGITA SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
31101 DEQUINDRE RD STE B, MADISON HEIGHTS, MI 48071-1546
(586) 292-9689
Mailing address
35718 EVANSTON AVE, STERLING HEIGHTS, MI 48312-3735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502004520
LIC
MI
Enumeration date
01/03/2023
Last updated
01/03/2023
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