Individual
NIKUNJKUMAR PRAKASHBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3370 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2721
(616) 309-4695
Mailing address
3370 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005430
MI
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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