Individual Provider
Mrs. MANISHA AJIT PATEL DPT
NPI Number1003000555
Practice Location
1401 E STATE ST
ROCKFORD, IL, 61104-2315
Phone
(815) 489-4470
Fax
(815) 490-5858
Mailing Address
1401 E STATE ST
ROCKFORD, IL, 611042315
Phone
(815) 489-4470
Fax
(815) 490-5858
Other Identifiers
070.01425
Other (non-Medicare)
Issuer: State of Illinois
License Information
License Number
070.01425
State: IL
Important Dates
Enumeration Date
August 28, 2007
Last Updated
August 28, 2007