Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE002850L | PA |
NPI | 1003000241 |
---|---|
Provider Name | Leslie A Patterson |
First Address | New Galilee, PA 16141-4613 |
Second Address | Beaver Falls, PA 15010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2007 |
Last Update Date | 30/08/2007 |