Provider Demographics
NPI:1437478724
Name:PATEL, HIRAL B (RPT)
Entity Type:Individual
Prefix:
First Name:HIRAL
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 RIVERWALK CIR
Mailing Address - Street 2:APT #6A
Mailing Address - City:CORUNNA
Mailing Address - State:MI
Mailing Address - Zip Code:48817-1370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:780 RIVERWALK CIR
Practice Address - Street 2:APT 6A
Practice Address - City:CORUNNA
Practice Address - State:MI
Practice Address - Zip Code:48817-1370
Practice Address - Country:US
Practice Address - Phone:302-357-6981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501014792225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist