Provider Demographics
NPI:1073908620
Name:PATEL, BIJAL JAGDISH (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:BIJAL
Middle Name:JAGDISH
Last Name:PATEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 RADCLIFFE DR APT C
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5455
Mailing Address - Country:US
Mailing Address - Phone:732-331-2723
Mailing Address - Fax:
Practice Address - Street 1:405 RADCLIFFE DR APT C
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5455
Practice Address - Country:US
Practice Address - Phone:732-331-2723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor