NPI | 1285972398 |
---|---|
Former Name | RONAK GOVINDBHAI PATEL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01481900) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035886) |
Enumeration Date | 2013-01-24 |
Last Update Date | 2022-09-01 |