Provider Demographics
NPI:1184991622
Name:PATEL, SWAPNA J (DPT)
Entity type:Individual
Prefix:DR
First Name:SWAPNA
Middle Name:J
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 1:122 BEVERLY HILLS TER APT F
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-4052
Mailing Address - Country:US
Mailing Address - Phone:732-983-7610
Mailing Address - Fax:
Practice Address - Street 1:120 W 7TH ST STE 200
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1629
Practice Address - Country:US
Practice Address - Phone:908-834-2575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027768-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist