Provider Demographics
NPI:1750170965
Name:PATEL, VEDANT (PT, DPT)
Entity type:Individual
Prefix:
First Name:VEDANT
Middle Name:
Last Name:PATEL
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 LANCASTER AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-7209
Mailing Address - Country:US
Mailing Address - Phone:215-662-0397
Mailing Address - Fax:
Practice Address - Street 1:3400 LANCASTER AVE STE 4
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-7209
Practice Address - Country:US
Practice Address - Phone:215-662-0397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist