Individual
AMITKUMAR ASHOKKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
6182 CREEKSIDE CT, GRAND BLANC, MI 48439-7445
(810) 844-6376
(810) 344-9954
Mailing address
6182 CREEKSIDE CT, GRAND BLANC, MI 48439
(810) 844-6376
(810) 344-9954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012795
MI
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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