Provider Demographics
NPI:1518598895
Name:PATEL, DIXITA DILIPBHAI (DPT, MS, MBA)
Entity Type:Individual
Prefix:MS
First Name:DIXITA
Middle Name:DILIPBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPT, MS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5576 ENCHANTED AVE
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-3242
Mailing Address - Country:US
Mailing Address - Phone:713-732-2942
Mailing Address - Fax:
Practice Address - Street 1:2210 CHENEY HWY
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-6702
Practice Address - Country:US
Practice Address - Phone:713-732-2942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist