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1093059677
NIKITA GAUTAM SHAH
SMYRNA, GA
NPI
1093059677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: NY 034601)
Enumeration Date
2012-11-20
Last Update Date
2024-04-10
Business Address
NIKITA GAUTAM SHAH
4600 W VILLAGE PL SE STE 4007
SMYRNA, GA 30080-9213
Phone number: 770-438-2015
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Mailing Address
NIKITA GAUTAM SHAH
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 866-518-0283
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