Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 40QA01786600 | NJ |
NPI | 1245655901 |
---|---|
Provider Name | Dr. Rajni Patel |
First Address | Cedar Knolls, NJ 07927-1624 |
Second Address | Cedar Knolls, NJ 07927-1624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2014 |
Last Update Date | 15/07/2020 |