Provider Demographics
NPI:1669602124
Name:PATEL, ASHWINIKUMAR N (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:ASHWINIKUMAR
Middle Name:N
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 GARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-4290
Mailing Address - Country:US
Mailing Address - Phone:562-229-2361
Mailing Address - Fax:323-306-5672
Practice Address - Street 1:1901 GARVEY AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-4290
Practice Address - Country:US
Practice Address - Phone:562-229-2361
Practice Address - Fax:323-306-5672
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-19
Last Update Date:2009-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35782225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist