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Individual

KRUPA KOMAL PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1833 HARD RD, COLUMBUS, OH 43235-5927
(330) 780-6006
Mailing address
4616 NAPA OAK DR, CHARLOTTE, NC 28216-8026
(330) 780-6006

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
P18739
NC
225100000X
Physical Therapist
Primary
J1-0003903
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
J1-0003903
DE
05
P18739
NC
Enumeration date
06/20/2018
Last updated
11/13/2019
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