Provider Demographics
NPI:1053353177
Name:PATEL, SEEMA (PT)
Entity type:Individual
Prefix:MISS
First Name:SEEMA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1692 OAK TREE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2853
Mailing Address - Country:US
Mailing Address - Phone:732-635-9729
Mailing Address - Fax:732-906-7801
Practice Address - Street 1:1692 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2853
Practice Address - Country:US
Practice Address - Phone:732-635-9729
Practice Address - Fax:732-906-7801
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01149100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ104956Medicare ID - Type Unspecified