Provider Demographics
NPI:1639424500
Name:PATEL, SWETA B (DPT)
Entity Type:Individual
Prefix:
First Name:SWETA
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 MILLBURN AVE
Mailing Address - Street 2:APT. C-2
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1843
Mailing Address - Country:US
Mailing Address - Phone:704-576-6800
Mailing Address - Fax:
Practice Address - Street 1:161 MILLBURN AVE
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1810
Practice Address - Country:US
Practice Address - Phone:973-376-7100
Practice Address - Fax:973-376-7101
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA0142500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist