Individual
SHRUTI SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 W ARCH HAVEN AVE STE E, BLOOMINGTON, IN 47403-2088
(812) 336-8406
(812) 336-8342
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011834A
IN
Other
Enumeration date
03/04/2016
Last updated
03/16/2016
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