Provider Demographics
NPI:1467858886
Name:PATEL, SNEHA P (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SNEHA
Middle Name:P
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MESSENGER LN
Mailing Address - Street 2:
Mailing Address - City:RINGOES
Mailing Address - State:NJ
Mailing Address - Zip Code:08551-1855
Mailing Address - Country:US
Mailing Address - Phone:201-923-8405
Mailing Address - Fax:
Practice Address - Street 1:22 MESSENGER LN
Practice Address - Street 2:
Practice Address - City:RINGOES
Practice Address - State:NJ
Practice Address - Zip Code:08551-1855
Practice Address - Country:US
Practice Address - Phone:201-923-8405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00779900225100000X
NY016979225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist