Provider Demographics
NPI:1447412960
Name:SHETH, HINA MANU (MPT, OCS, MTC)
Entity Type:Individual
Prefix:MRS
First Name:HINA
Middle Name:MANU
Last Name:SHETH
Suffix:
Gender:F
Credentials:MPT, OCS, MTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 SPRUCE ST
Mailing Address - Street 2:APT 803
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5826
Mailing Address - Country:US
Mailing Address - Phone:646-369-5072
Mailing Address - Fax:215-546-0897
Practice Address - Street 1:1326 SPRUCE ST
Practice Address - Street 2:APT 803
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5826
Practice Address - Country:US
Practice Address - Phone:646-369-5072
Practice Address - Fax:215-546-0897
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0171432251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic