| Doctor Name: | SHONALI JOG |
| NPI Number: | 1003940495 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHS, PT |
| License Number: | 05008829A |
| Business Practice Address: | 638 Brandywine Pkwy West Chester, PA - 193804278 |
| Business Phone Number: | 6104363607 |
| Business Fax Number: | |
| Mailing Address: | 429 Montgomery Ave, Apt. A-204 HAVERFORD |
| State: | PA |
| Postal Code: | 190411751 |
| Phone Number: | 3174273309 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 02/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05008829A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |