Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA00665700 | NJ |
NPI | 1003022435 |
---|---|
Provider Name | Mrs. Sanjani S Patel |
First Address | Township Of Washington, NJ 07676-5241 |
Second Address | Paramus, NJ 07652-4100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 08/07/2007 |