Provider Demographics
NPI:1467573824
Name:SHETH, HIRVABEN P (BPT)
Entity Type:Individual
Prefix:MISS
First Name:HIRVABEN
Middle Name:P
Last Name:SHETH
Suffix:
Gender:F
Credentials:BPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HAWKSWELL CIR
Mailing Address - Street 2:
Mailing Address - City:ORELAND
Mailing Address - State:PA
Mailing Address - Zip Code:19075-1500
Mailing Address - Country:US
Mailing Address - Phone:848-391-1213
Mailing Address - Fax:
Practice Address - Street 1:11 HAWKSWELL CIR
Practice Address - Street 2:
Practice Address - City:ORELAND
Practice Address - State:PA
Practice Address - Zip Code:19075-1500
Practice Address - Country:US
Practice Address - Phone:848-391-1213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028305225100000X
PAPT020976225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT020976OtherPA STATE BOARD OF PHYSICAL THERAPY