Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 2305208821 | VA |
NPI | 1154795532 |
---|---|
Provider Name | Ruchi Patel |
First Address | Fredericksburg, VA 22401-4998 |
Second Address | Fredericksburg, VA 22407-6687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2015 |
Last Update Date | 22/11/2015 |