Basic Information
| Provider Information | |||||||||
| NPI: | 1457583767 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | RESHMA | ||||||||
| MiddleName: | RIKIN | ||||||||
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| Credential: | DPT | ||||||||
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| OtherLastName: | PATEL | ||||||||
| OtherFirstName: | RESHMA | ||||||||
| OtherMiddleName: | PRAVIN | ||||||||
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| OtherCredential: | DPT | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 557 CRANBURY RD | ||||||||
| Address2: | SUITE 6 | ||||||||
| City: | EAST BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088165419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326982800 | ||||||||
| FaxNumber: | 7326981828 | ||||||||
| Practice Location | |||||||||
| Address1: | 300A PRINCETON-HIGHTSTOWN RD. | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | EAST WINDSOR | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 085201411 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094264442 | ||||||||
| FaxNumber: | 6094430910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2009 | ||||||||
| LastUpdateDate: | 09/07/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 40QA01283400 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.