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NPI Code Detail

MEDICARE: RUCHI PARUL SHAH MS, DPT,OCS,CMP

MEDICARE: RUCHI PARUL SHAH MS, DPT,OCS,CMP
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 Therapist25364MD
22251X0800XOrthopedic Physical Therapist025686PA

General Provider Information

NPI Number : 1841675147
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUCHI PARUL SHAH MS, DPT,OCS,CMP
Provider Business Mailing Address
First Line : 133 W HUNTING PARK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-2717
Country : US
Telephone Number : 215-455-5370
Fax Number : 215-455-5374
Provider Business Practice Location Address
First Line : 233 E KING ST STE 103
Second Line :
City : MALVERN
State : PA
Zip : 19355-2574
Country : US
Telephone Number : 914-294-4050
Fax Number : 215-455-5374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2015
Last Update Date : 08/01/2023

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