Individual
BHAVNA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4650 W SUNSET BLVD, MAILSTOP # 154, LOS ANGELES, CA 90027
(323) 361-2226
Mailing address
919 S DETROIT ST, LOS ANGELES, CA 90036-4811
(562) 477-0682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39124
CA
Other
Enumeration date
06/06/2020
Last updated
06/06/2020
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