Individual
JESAL NISHIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 MERRITT BLVD, DUNDALK, MD 21222-2113
(410) 285-0920
Mailing address
PO BOX 419666, BOSTON, MA 02241-9666
(410) 970-8190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305213481
VA
225100000X
Physical Therapist
Primary
27909
MD
Other
Enumeration date
05/31/2020
Last updated
11/27/2023
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