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NPI Code Detail

MEDICARE: VAISHALI PATEL PT

MEDICARE: VAISHALI PATEL PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistJ1-0003562DE
2225100000XPhysical Therapist296098CA
3225100000XPhysical TherapistP21919NC

General Provider Information

NPI Number : 1104377720
Entity Type Code : Individual
Provider Name (Legal Business Name) : VAISHALI PATEL PT
Provider Business Mailing Address
First Line : 3911 N WASHINGTON ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19802-2147
Country : US
Telephone Number : 302-764-8192
Fax Number : 302-764-8185
Provider Business Practice Location Address
First Line : 510 TIMBER DR E STE 102
Second Line :
City : GARNER
State : NC
Zip : 27529-5285
Country : US
Telephone Number : 919-500-5003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2016
Last Update Date : 10/08/2024

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Directions to “ VAISHALI PATEL PT” Practice Location

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