Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1143519 | TX |
N | 2251P0200X | Physical Therapist - Pediatrics | 1143519 | TX |
Y | 225X00000X | Occupational Therapist | 109104 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 109104 | TX |
NPI | 1023392263 |
---|---|
Provider Name | Rashi Patel |
First Address | Plano, TX 75024-7079 |
Second Address | Plano, TX 75025-5833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2011 |
Last Update Date | 09/06/2015 |