Individual
AISHA SHAIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
130 LOTUS LN, COVINGTON, GA 30016-1976
(601) 421-1593
Mailing address
130 LOTUS LN, COVINGTON, GA 30016-1976
(601) 421-1593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014157
GA
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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