Mitisha M Shah, MHS, PT

NPI #1891331633 in Berwyn, Illinois

Provider Information

NPI Number: 1891331633
Entity Type: Individual
Name: Mitisha M Shah, MHS, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MHS, PT
Enumeration Date: Nov 26, 2019
Last Updated: Nov 26, 2019

Practice Location

Address: 6347 CERMAK RD STE A
City: Berwyn
State: Illinois
ZIP Code: 60402-4748
Phone: (708) 749-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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