Individual
AMITA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 E BROADWAY RD, SUITE 6, MESA, AZ 85208-2002
(480) 354-2911
Mailing address
1234 WHITEFISH STAGE, KALISPELL, MT 59901-2753
(406) 756-7878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11281
AZ
Other
Enumeration date
03/09/2015
Last updated
12/23/2021
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