Provider Demographics
NPI:1457583767
Name:PATEL, RESHMA RIKIN (DPT)
Entity Type:Individual
Prefix:
First Name:RESHMA
Middle Name:RIKIN
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RESHMA
Other - Middle Name:PRAVIN
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:557 CRANBURY RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5419
Mailing Address - Country:US
Mailing Address - Phone:732-698-2800
Mailing Address - Fax:732-698-1828
Practice Address - Street 1:300A PRINCETON-HIGHTSTOWN RD.
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1411
Practice Address - Country:US
Practice Address - Phone:609-426-4442
Practice Address - Fax:609-443-0910
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01283400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist