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Individual

SHILPA MEHTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4190 24TH AVE STE 205, FORT GRATIOT, MI 48059-3884
(810) 216-1802
(810) 216-1857
Mailing address
2669 WHITNEY PL, FORT GRATIOT, MI 48059-3954
(810) 385-4978

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501005154
MI

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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