Individual
AMIT ASHOKKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34020 7 MILE RD STE 101, LIVONIA, MI 48152-3093
(248) 474-8339
(248) 474-8349
Mailing address
34020 7 MILE RD STE 101, LIVONIA, MI 48152-3093
(248) 474-8339
(248) 474-8349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014251
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501014251
LICENSE NUMBER
MI
Enumeration date
01/29/2009
Last updated
01/29/2009
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