Individual
PAYAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4930 SAINT REGIS DR, MOUNT PLEASANT, WI 53403-3995
(262) 994-2618
Mailing address
4930 ST. REGIS DR, RACINE, WI 53403
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5708 - 26
WI
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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