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Individual

MR. KIRAT SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT,MPT,CWS,CLT-LANA

Contact information

Practice address
2916 RIDGEGATE PL, GLEN ALLEN, VA 23059-4682
(517) 918-4849
Mailing address
2916 RIDGEGATE PL, GLEN ALLEN, VA 23059-4682
(517) 918-4849

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206253
VA

Other

Enumeration date
04/21/2015
Last updated
09/28/2016
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