Provider Demographics
NPI:1255828737
Name:PATEL, RUCHIBEN MANOJKUMAR (PT)
Entity Type:Individual
Prefix:
First Name:RUCHIBEN
Middle Name:MANOJKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 VILLAGE DR E APT B
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2821
Mailing Address - Country:US
Mailing Address - Phone:215-687-2238
Mailing Address - Fax:
Practice Address - Street 1:2277 ROUTE 33 STE 411
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1700
Practice Address - Country:US
Practice Address - Phone:609-838-7284
Practice Address - Fax:609-838-7285
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01785000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist