Provider Demographics
NPI:1487482477
Name:PATEL, SANGEETA (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:SANGEETA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 VISTA COURT DR APT 4227
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-8460
Mailing Address - Country:US
Mailing Address - Phone:760-529-1396
Mailing Address - Fax:
Practice Address - Street 1:158 AZTEC LN # 104
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-3451
Practice Address - Country:US
Practice Address - Phone:469-256-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120344225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist