Provider Demographics
NPI:1003327990
Name:PATEL, TULSI (PT, DPT, CLT, CES)
Entity Type:Individual
Prefix:
First Name:TULSI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT, DPT, CLT, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WINDROW LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1777
Mailing Address - Country:US
Mailing Address - Phone:215-880-7701
Mailing Address - Fax:
Practice Address - Street 1:3 WINDROW LN
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1777
Practice Address - Country:US
Practice Address - Phone:215-880-7701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025052225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty