Individual
ANISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 PERKINS ST APT 1E, OAKLAND, CA 94610-3376
(510) 328-3820
Mailing address
260 KINGSRIDGE DR, BROXTON, GA 31519-6539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012642
GA
225100000X
Physical Therapist
PT296026
CA
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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