Provider Demographics
NPI:1417198763
Name:PATEL, SEJAL P (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SEJAL
Middle Name:P
Last Name:PATEL
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4329 REXFORD DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-9314
Mailing Address - Country:US
Mailing Address - Phone:610-954-0339
Mailing Address - Fax:610-954-0339
Practice Address - Street 1:4329 REXFORD DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9314
Practice Address - Country:US
Practice Address - Phone:610-954-0339
Practice Address - Fax:610-954-0339
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010964-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
12400OtherEARLY INTERVENTION
NY12100OtherEARLY INTERVENTION
NY15232OtherEARLY INTERVENTION