MEDICARE: SHEETAL SABHLOK

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	225100000X	Physical Therapist	5501016271	MI

General Provider Information

NPI Number	:	1093291155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEETAL SABHLOK

Provider Business Mailing Address
First Line	:	5701 CHICAGO RD STE D
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48092-5033
Country	:	US
Telephone Number	:	586-978-9850
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 CHICAGO RD STE D
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48092-5033
Country	:	US
Telephone Number	:	586-978-9850
Fax Number	:

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

Provider Enumeration Date	:	07/12/2018
Last Update Date	:	07/12/2018

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Directions to “ SHEETAL SABHLOK ” Practice Location

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