Provider Demographics
NPI:1356806962
Name:PATEL, KARNAVEEBEN DHARAMPAL (PTA)
Entity type:Individual
Prefix:
First Name:KARNAVEEBEN
Middle Name:DHARAMPAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 MARGIT CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-6778
Mailing Address - Country:US
Mailing Address - Phone:267-382-8474
Mailing Address - Fax:
Practice Address - Street 1:107 MARGIT CT
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-6778
Practice Address - Country:US
Practice Address - Phone:267-382-8474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ2-0001226225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant