MEDICARE: MRS. HINA MANU SHETH MPT, OCS, MTC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT017143	PA

General Provider Information

NPI Number	:	1447412960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HINA MANU SHETH MPT, OCS, MTC

Provider Business Mailing Address
First Line	:	1326 SPRUCE ST
Second Line	:	APT 803
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5826
Country	:	US
Telephone Number	:	646-369-5072
Fax Number	:	215-546-0897

Provider Business Practice Location Address
First Line	:	1326 SPRUCE ST
Second Line	:	APT 803
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5826
Country	:	US
Telephone Number	:	646-369-5072
Fax Number	:	215-546-0897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

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