Individual
KOMAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5024 W WESTERN AVE, SOUTH BEND, IN 46619-2312
(574) 318-4600
Mailing address
27608 RED THISTLE DR, ELKHART, IN 46514-8256
(224) 200-8033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013714A
IN
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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