Provider Demographics
NPI:1740998830
Name:SHREE PHYSICAL THERAPY, PC
Entity type:Organization
Organization Name:SHREE PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EKTA
Authorized Official - Middle Name:KAMANI
Authorized Official - Last Name:SANGANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-377-0907
Mailing Address - Street 1:11911 ARTESIA BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4060
Mailing Address - Country:US
Mailing Address - Phone:562-402-8389
Mailing Address - Fax:562-403-2638
Practice Address - Street 1:11911 ARTESIA BLVD STE 207
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90701-4060
Practice Address - Country:US
Practice Address - Phone:562-402-8389
Practice Address - Fax:562-403-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy