Individual
VIPUL B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5024 W WESTERN AVE, SOUTH BEND, IN 46619-2312
(574) 318-4600
Mailing address
27608 RED THISTLE DR, ELKHART, IN 46514-8256
(224) 200-8033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006036A
IN
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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