Doctor Name: | KAVITA PATEL |
NPI Number: | 1174913867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT023557 |
Business Practice Address: | 723 Route 113 Suite #6 Souderton, PA - 189641000 |
Business Phone Number: | 2155381999 |
Business Fax Number: | 2673820088 |
Mailing Address: | 723 Route 113, Suite #6 SOUDERTON |
State: | PA |
Postal Code: | 189641000 |
Phone Number: | 2155381999 |
Fax Number: | 2673820088 |
NPI Enumeration Date: | 02/02/2015 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT023557 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |