Individual
NANDINI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 FOUNTAIN AVE, LOS ANGELES, CA 90029-1006
(323) 465-2106
Mailing address
515 W BROADWAY APT 209, GLENDALE, CA 91204-1082
(281) 687-9529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49980
CA
Other
Enumeration date
04/13/2020
Last updated
04/15/2020
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