Provider Demographics
NPI:1972630762
Name:SHEN, WEI Y (PT, MHS)
Entity Type:Individual
Prefix:
First Name:WEI
Middle Name:Y
Last Name:SHEN
Suffix:
Gender:F
Credentials:PT, MHS
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:SHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6228 N APPLECROSS RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3727
Mailing Address - Country:US
Mailing Address - Phone:216-589-3919
Mailing Address - Fax:
Practice Address - Street 1:13231 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-4523
Practice Address - Country:US
Practice Address - Phone:216-681-4433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5299225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist