Most Relevant Information
Provider Data
NPI Number: | 1003205493 |
Provider Name: | POOJA SHAH P.T. |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 070021152 |
Most Important Dates
Enumeration Date: | 01/22/2015 |
Last Updated: | 01/22/2015 |
Provider Practice Location
1514 KINGSTON CT
DES PLAINES
IL
600181478
Practice Location Phone/Fax
Phone: | 3179006794 |
Fax: |
Provider Mailing Location
1514 KINGSTON CT
DES PLAINES
IL
600181478
Provider Mailing Phone/Fax
Phone: | 3179006794 |
Fax: |