Individual
MS. KAMINIBEN NIVANTKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1165 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30043-8741
(678) 761-1280
Mailing address
1455 OX BRIDGE WAY, LAWRENCEVILLE, GA 30043-5403
(678) 761-1280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014409
GA
Other
Enumeration date
11/13/2019
Last updated
01/27/2022
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