Manisha Ajit Patel DPT

NPI 1003000555 - Physical Therapist - 225100000X

NPI Details
NPI 1003000555
Gender Female
Enumeration Date 08/28/2007
Last Updated 08/28/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1401 E STATE ST
ROCKFORD IL, 61104-2315, US
Phone (815) 489-4470
Fax (815) 490-5858
Business Location
1401 E STATE ST
ROCKFORD IL, 61104-2315, US
Phone (815) 489-4470
Fax (815) 490-5858
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070.01425
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According to our database, Mrs. Manisha Ajit Patel DPT NPI is 1003000555, taxonomy code is 225100000X and license number is 070.01425, license state is located at Illinois. Manisha Ajit Patel DPT physically located at 1401 E State St, Rockford IL, 61104-2315. NPI Number Manisha Ajit Patel DPT has the Individual type.

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1003000555 NPI number is provided on an as is basis without warranty of any kind. 1003000555 is maintained by the National Plan & Provider Enumeration System. The contents of Manisha Ajit Patel DPT are for informational purposes only.