Individual
NIKITA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 BOILING SPRINGS RD, SPARTANBURG, SC 29303-4201
(864) 582-0019
(864) 582-2160
Mailing address
PO BOX 3408, IRMO, SC 29063-4015
(803) 732-5887
(803) 732-5997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7946
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8438
MCR
SC
Enumeration date
11/04/2015
Last updated
11/04/2015
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