Individual
MISS NISHA V PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L, CHT
Contact information
Practice address
UFHEALTH ORTHOPEADIC JTB KERNAN, 5191 FIRST COAST TECH PARKWAY, JACKSONVILLE, FL 32224
(904) 223-3321
Mailing address
4549 EMERSON ST STE 300, JACKSONVILLE, FL 32207-4961
(904) 427-8900
(904) 427-8901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT2662
FL
225XH1200X
Hand Occupational Therapist
Primary
OT2662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2662
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
02/16/2023
Last updated
02/16/2023
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