Individual
GRISHMA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
051112
NY
225100000X
Physical Therapist
Primary
14481
CT
225200000X
Physical Therapy Assistant
012097
NY
Other
Enumeration date
02/22/2023
Last updated
07/23/2024
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