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Shivangi Potdar, MPT

Physical Therapist in Palatine, IL. Individual provider (NPI-1).

NPI number1861536799
StatusActive
Last updated in NPPESJul 12, 2007

Details

NPI
1861536799
Entity type
Individual (NPI-1)
Name
Shivangi Potdar
Credential
MPT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 16, 2007
Last updated
Jul 12, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070015547ILYes

Practice location

1770 N Hicks Rd
Forest Grove Athletic Club
Palatine, IL 60074-2339

Phone 847-776-0106 · Fax 847-776-0134

Mailing address

1770 N Hicks Rd
Palatine, IL 60074-2339

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