Provider Demographics
NPI:1457963316
Name:SHAH, AABHA HARSH (PT)
Entity Type:Individual
Prefix:
First Name:AABHA
Middle Name:HARSH
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 1:15725 POMERADO RD STE 115
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2058
Mailing Address - Country:US
Mailing Address - Phone:858-675-7766
Mailing Address - Fax:588-675-0043
Practice Address - Street 1:15725 POMERADO RD STE 115
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2058
Practice Address - Country:US
Practice Address - Phone:858-675-7766
Practice Address - Fax:858-675-0043
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT298642225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist