Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | NY |
NPI | 1225596083 |
---|---|
Provider Name | Manaliben C Patel |
First Address | Woodbridge, NJ 07095-1438 |
Second Address | Woodbridge, NJ 07095-1438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2019 |
Last Update Date | 11/03/2019 |