Individual
MS. NITA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
960 TULIP LN APT 4, ROCKFORD, IL 61107-5738
(815) 397-5605
Mailing address
960 TULIP LN APT 4, ROCKFORD, IL 61107-5738
(815) 397-5605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005201
IL
Other
Enumeration date
03/07/2010
Last updated
03/07/2010
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