Provider Demographics
NPI:1881400505
Name:PATEL, RIDHEE J (OT)
Entity type:Individual
Prefix:MISS
First Name:RIDHEE
Middle Name:J
Last Name:PATEL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1587 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-1453
Mailing Address - Country:US
Mailing Address - Phone:707-441-1931
Mailing Address - Fax:707-441-1940
Practice Address - Street 1:1587 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-1453
Practice Address - Country:US
Practice Address - Phone:707-441-1931
Practice Address - Fax:707-441-1940
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT25805225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist