Individual
MRS. ANITA PATEL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3400 SPRUCE ST, 1-WHITE, PHILADELPHIA, PA 19104-4238
(215) 662-3265
Mailing address
137 N CROSKEY ST, PHILADELPHIA, PA 19103-2214
(215) 514-9282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013889L
PA
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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