Individual
HETAL A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
5220 S 6TH STREET RD, SUITE 1500, SPRINGFIELD, IL 62703-5735
(217) 529-8469
(217) 529-5580
Mailing address
5220 S 6TH STREET RD, SUITE 1500, SPRINGFIELD, IL 62703-5735
(217) 529-8469
(217) 529-5580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
07/19/2006
Last updated
12/12/2007
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