MITISHA MILIND SHAH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024243

License Status

ACTIVE

Business

First Name

MITISHA

Middle

MILIND

Last Name

SHAH

Business Name

MITISHA MILIND SHAH

Original Issue Date

03/27/2019

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

STAMFORD

State

Zip

06901

Ever Disciplined

LastModifiedDate

09/22/2024