Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC-006841L | PA |
N | 225XH1200X | Occupational Therapist - Hand | OC-006841L | PA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OC-006481L | PA |
NPI | 1508905944 |
---|---|
Provider Name | Manish Patel |
First Address | Philadelphia, PA 19140-2717 |
Second Address | Philadelphia, PA 19134-4514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 25/07/2016 |