Provider Demographics
NPI:1366075145
Name:PATEL, POOJABEN SEAN (DPT)
Entity type:Individual
Prefix:
First Name:POOJABEN
Middle Name:SEAN
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 HIGH HOUSE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3510
Mailing Address - Country:US
Mailing Address - Phone:193-880-1119
Mailing Address - Fax:919-388-8668
Practice Address - Street 1:730 SLASH PINE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-7628
Practice Address - Country:US
Practice Address - Phone:919-460-4399
Practice Address - Fax:919-388-8668
Is Sole Proprietor?:No
Enumeration Date:2020-02-19
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP19206225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist