Individual
DIPESH A SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6700 WALL ST, APT # 7G, MOBILE, AL 36695-4508
(251) 219-4484
Mailing address
6700 WALL ST, APT # 7G, MOBILE, AL 36695-4508
(251) 219-4484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05008401A
INDIANA PHYSICAL THERAPY
IN
Enumeration date
08/01/2006
Last updated
07/08/2007
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