Individual
PREYA CYNTHIA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(866) 974-2673
(866) 939-2673
Mailing address
3010 W AGUA FRIA FWY STE 100, PHOENIX, AZ 85027-3944
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501010313
MI
2251X0800X
Orthopedic Physical Therapist
Primary
5501010313
MI
Other
Enumeration date
10/26/2010
Last updated
08/23/2013
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