Provider Demographics
NPI:1225741655
Name:PATEL, SHRIPAL PRIYESH (OTR)
Entity Type:Individual
Prefix:
First Name:SHRIPAL
Middle Name:PRIYESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 PARKER SQUARE RD.
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7427
Mailing Address - Country:US
Mailing Address - Phone:214-513-0333
Mailing Address - Fax:
Practice Address - Street 1:650 PARKER SQUARE RD.
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7427
Practice Address - Country:US
Practice Address - Phone:214-513-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117610225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation