Provider Demographics
NPI:1770004756
Name:PATEL, DHARA N (PT, DPT)
Entity type:Individual
Prefix:
First Name:DHARA
Middle Name:N
Last Name:PATEL
Suffix:
Gender:F
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 1:1025 E HALLANDALE BEACH BLVD STE 15-757
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4478
Mailing Address - Country:US
Mailing Address - Phone:754-277-4940
Mailing Address - Fax:754-287-2261
Practice Address - Street 1:785 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-6710
Practice Address - Country:US
Practice Address - Phone:754-277-4940
Practice Address - Fax:754-287-2261
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41414225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist