Individual
DAXA KASABWALA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 BRADLEY ST, NORTH BRUNSWICK, NJ 08902-2208
(732) 565-9338
Mailing address
920 BRADLEY ST, NORTH BRUNSWICK, NJ 08902-2208
(732) 565-9338
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010151-1
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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