Individual
DURGA AMAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
1866 WILDWOOD PL NE, ATLANTA, GA 30324-4908
(404) 805-2629
Mailing address
1866 WILDWOOD PL NE, ATLANTA, GA 30324-4908
(404) 805-2629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7032
GA
2251P0200X
Pediatric Physical Therapist
7032
GA
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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