Provider Demographics
NPI:1538494216
Name:SANGAL, ATUL (MSPT)
Entity Type:Individual
Prefix:MR
First Name:ATUL
Middle Name:
Last Name:SANGAL
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 FITZWATERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3516
Mailing Address - Country:US
Mailing Address - Phone:215-657-1538
Mailing Address - Fax:215-657-1676
Practice Address - Street 1:1240 FITZWATERTOWN RD
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:PA
Practice Address - Zip Code:19001-3516
Practice Address - Country:US
Practice Address - Phone:215-657-1538
Practice Address - Fax:215-657-1676
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009310L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist