NPI | 1679753487 |
---|---|
Former Name | NEEMA SHAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA Pt10020) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7873) |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2007-11-08 |
Last Update Date | 2011-05-04 |