Healthcare Provider Details

I. General information

NPI: 1922921527
Provider Name (Legal Business Name): PALAK PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N MEDICAL DR
SALT LAKE CITY UT
84132-0001
US

IV. Provider business mailing address

10 LIPTON LN
LANGHORNE PA
19047-5781
US

V. Phone/Fax

Practice location:
  • Phone: 215-808-8151
  • Fax:
Mailing address:
  • Phone: 215-808-8151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: