Individual
BINA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1180 OLD JACKSON RD, FARMINGTON, MO 63640-3428
(573) 760-1700
Mailing address
503 COBBLESTONE CT, FARMINGTON, MO 63640-7492
(573) 747-1832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104016
MO
Other
Enumeration date
12/25/2014
Last updated
12/25/2014
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