Individual
SHIVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2070 NORTHBROOK BLVD STE A9, NORTH CHARLESTON, SC 29406-9253
(843) 824-2183
(843) 553-3221
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
SC
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/10/2022
Last updated
08/21/2024
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