Individual
MRS. RUCHITA SHAH SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6065 MERIDIAN AVE STE 70, SAN JOSE, CA 95120-2772
(408) 927-0871
(408) 927-0891
Mailing address
6065 MERIDIAN AVE STE 70, SAN JOSE, CA 95120-2772
(408) 927-0871
(408) 927-0891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49324
CA
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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