Provider Demographics
NPI:1588810105
Name:SHAH, SAPNA (PT)
Entity Type:Individual
Prefix:
First Name:SAPNA
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 FIFTH AVENUE
Mailing Address - Street 2:SYMMETRY PHYSICAL THERAPY
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803
Mailing Address - Country:US
Mailing Address - Phone:914-738-1748
Mailing Address - Fax:914-738-1749
Practice Address - Street 1:342 FIFTH AVENUE
Practice Address - Street 2:SYMMETRY PHYSICAL THERAPY
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803
Practice Address - Country:US
Practice Address - Phone:914-738-1748
Practice Address - Fax:914-738-1749
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0303881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist