Individual
BHOOMI MUKESHKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3250 S ARIZONA AVE, APT 2019, CHANDLER, AZ 85248-2705
(857) 203-1671
Mailing address
3250 S ARIZONA AVE, APT 2019, CHANDLER, AZ 85248-2705
(857) 203-1671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11444
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11444
ARIZONA BOARD OF PT
AZ
Enumeration date
06/12/2015
Last updated
02/16/2016
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