Manisha Ajit Patel, DPT
Physical Therapist in Rockford, IL. Individual provider (NPI-1).
NPI number1003000555
StatusActive
Last updated in NPPESAug 28, 2007
Details
- NPI
- 1003000555
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Manisha Ajit Patel
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2007
- Last updated
- Aug 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070.01425 | IL | Yes |
Practice location
1401 E State StRockford, IL 61104-2315
Phone 815-489-4470 · Fax 815-490-5858
Mailing address
1401 E State StRockford, IL 61104-2315
Phone 815-489-4470 · Fax 815-490-5858
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