Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
Y | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1013120534 |
---|---|
Provider Name | Ripal Patel |
First Address | Oviedo, FL 32765-9154 |
Second Address | Oviedo, FL 32765-9154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 04/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013120534 | (05) | FL |