Hetal A Shah, LPT

NPI #1336168269 in Springfield, Illinois

Provider Information

NPI Number: 1336168269
Entity Type: Individual
Name: Hetal A Shah, LPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: LPT
Enumeration Date: Jul 19, 2006
Last Updated: Dec 12, 2007

Practice Location

Address: 5220 S 6TH STREET RD
Address 2: SUITE 1500
City: Springfield
State: Illinois
ZIP Code: 62703-5735
Phone: (217) 529-8469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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