Individual
BANSI MAHESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
161 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4314
(301) 694-8311
(240) 629-8549
Mailing address
161 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4314
(301) 694-8311
(240) 629-8549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27789
MD
225100000X
Physical Therapist
PT027252
PA
Other
Enumeration date
11/02/2018
Last updated
09/02/2020
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