Healthcare Provider Details

I. General information

NPI: 1659284024
Provider Name (Legal Business Name): CHANDNI PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 SPIT BROOK RD
NASHUA NH
03062-4000
US

IV. Provider business mailing address

4 ARCADIA RD
BILLERICA MA
01821-5232
US

V. Phone/Fax

Practice location:
  • Phone: 603-699-2159
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6191
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: