Individual
NIKKI B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
511 N BROAD ST, PHILADELPHIA, PA 19123-3230
(215) 923-6031
Mailing address
511 N BROAD ST, PHILADELPHIA, PA 19123-3230
(215) 923-6031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01987400
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
PT030486
PA
Other
Enumeration date
02/22/2021
Last updated
07/25/2022
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