Individual
JAYSHREE K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 E 33RD ST STE 105, BALTIMORE, MD 21218-6795
(410) 366-0791
Mailing address
640 WINTERGREEN ST, GREENVILLE, MS 38701-7552
(803) 883-1247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
4641
MS
225200000X
Physical Therapy Assistant
Primary
A3451
MD
Other
Enumeration date
05/11/2011
Last updated
12/29/2025
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