Patricia A Mowbray
Physical Therapy Assistant
6040 Lute Rd
Portage
, Indiana 46368-5008
Patricia A Mowbray
Physical Therapy Assistant
6040 Lute Rd
Portage
, Indiana 46368-5008
(219) 510-5588
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Patricia A Mowbray
- 3901 Liberty Dr
- Valparaiso, IN
- Zip : 46383-8336
- Phone : (219) 510-5588
Second Address
- Patricia A Mowbray
- 6040 Lute Rd
- Portage, IN
- Zip : 46368-5008
- Fax : (219) 763-4858
- Phone : (219) 763-6858
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 06002550A | IN |
National Provider Identifier
| NPI | 1013116904 |
|---|---|
| Provider Name | Patricia A Mowbray |
| First Address | Valparaiso, IN 46383-8336 |
| Second Address | Portage, IN 46368-5008 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2007 |
| Last Update Date | 12/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06002550A | PTA (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.