Mitali Patel

NPI #1205308186 in Jackson, Michigan

Provider Information

NPI Number: 1205308186
Entity Type: Individual
Name: Mitali Patel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Dec 17, 2018
Last Updated: Dec 17, 2018

Practice Location

Address: 3506 BLUEBELL LN APT 32
City: Jackson
State: Michigan
ZIP Code: 49201-7294
Phone: (252) 505-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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