Doctor Name: | MR. JAY SHANKAR JHA |
NPI Number: | 1760659460 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 5501006270 |
Business Practice Address: | 10809 Mack Ave Suite Pt Detroit, MI - 482142119 |
Business Phone Number: | 3133312100 |
Business Fax Number: | 3133312101 |
Mailing Address: | 10809 Mack Ave, Suite Pt DETROIT |
State: | MI |
Postal Code: | 482142119 |
Phone Number: | 3133312100 |
Fax Number: | 3133312101 |
NPI Enumeration Date: | 05/12/2008 |
NPI Last Update Date: | 05/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501006270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |