Individual
KEVALEE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
173 TULIP AVE, FLORAL PARK, NY 11001-2703
(516) 214-5797
Mailing address
64TH AVE, APT 108-41 FL 2, FOREST HILLS, NY 11375
(774) 623-4494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014491-01
NY
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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