Individual
SHYLA ANANDA BHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
GRACEDALE, GRACEDALE AVE, NAZARETH, PA 18064
(610) 746-1908
(610) 746-5253
Mailing address
3909 SCHERMAN BLVD, BETHLEHEM, PA 18020-7624
(610) 691-4453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005914L
PA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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