Individual
MITALI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 W 25TH ST, YUMA, AZ 85364-6925
(928) 726-7900
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
094646
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094646
IOWA PT LICENSE
IA
Enumeration date
04/16/2019
Last updated
01/15/2025
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