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NPI Code Detail

MEDICARE: MONICA SHROFF DPT

MEDICARE: MONICA SHROFF DPT
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
1225100000XPhysical Therapist070018013IL

General Provider Information

NPI Number : 1104131440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA SHROFF DPT
Provider Business Mailing Address
First Line : 3651 WESLAYAN ST STE 110
Second Line :
City : HOUSTON
State : TX
Zip : 77027-6638
Country : US
Telephone Number : 630-863-1259
Fax Number :
Provider Business Practice Location Address
First Line : 3651 WESLAYAN ST STE 110
Second Line :
City : HOUSTON
State : TX
Zip : 77027-6638
Country : US
Telephone Number : 713-850-8470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2010
Last Update Date : 08/04/2020

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