Provider Demographics
NPI:1720278120
Name:PATEL, HENA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:HENA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 LOCKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-6037
Mailing Address - Country:US
Mailing Address - Phone:617-409-1944
Mailing Address - Fax:
Practice Address - Street 1:59 LOCKWOOD AVE
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-6037
Practice Address - Country:US
Practice Address - Phone:617-409-1944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9221225X00000X
RI01107225X00000X
NJ46TR00392100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist