NPI | 1508333931 |
---|---|
Former Name | SHRUTI K MEHTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213870) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25770) |
Enumeration Date | 2018-10-24 |
Last Update Date | 2024-09-26 |