MRS. Manisha Ajit Patel, DPT

NPI #1003000555 in Rockford, Illinois

Provider Information

NPI Number: 1003000555
Entity Type: Individual
Name: MRS. Manisha Ajit Patel, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 28, 2007
Last Updated: Aug 28, 2007

Practice Location

Address: 1401 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61104-2315
Phone: (815) 489-4470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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