Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225200000X | Physical Therapy Assistant | MI | |
N | 225200000X | Physical Therapy Assistant | 006669 | NY |
Y | 225200000X | Physical Therapy Assistant | 2306602356 | VA |
NPI | 1013100494 |
---|---|
Provider Name | Mr. Vinay Bhanubhai Patel |
First Address | Colonial Heights, VA 23834-5366 |
Second Address | Colonial Heights, VA 23834-5366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 17/08/2010 |