Provider Demographics
NPI:1477088821
Name:PATEL, RICHA PAREKH (OTR/L)
Entity Type:Individual
Prefix:
First Name:RICHA
Middle Name:PAREKH
Last Name:PATEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:RICHA
Other - Middle Name:
Other - Last Name:PAREKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3350 CHEMIN DE RIVIERE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-4310
Mailing Address - Country:US
Mailing Address - Phone:734-890-3702
Mailing Address - Fax:
Practice Address - Street 1:3350 CHEMIN DE RIVIERE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-4310
Practice Address - Country:US
Practice Address - Phone:734-890-3702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201009732225X00000X
CAOT18952225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist