Most Relevant Information
Provider Data
| NPI Number: | 1003396722 |
| Provider Name: | VIDHI GHETIA PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2126683 |
Most Important Dates
| Enumeration Date: | 08/21/2018 |
| Last Updated: | 09/05/2023 |
Provider Practice Location
4100 FAIRWAY DR STE 400
CARROLLTON
TX
750106538
Practice Location Phone/Fax
| Phone: | 9729796577 |
| Fax: | 9729796951 |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |