Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 5501012808 | MI |
Y | 2251G0304X | Physical Therapist - Geriatrics | 36251 | CA |
NPI | 1336477827 |
---|---|
Provider Name | Ms. Shveta Malhotra |
First Address | Jalandhar, PUNJAB 144001 |
Second Address | Elk Grove, CA 95624-3243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2009 |
Last Update Date | 11/02/2022 |