Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT020688 | PA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT020688 | PA |
NPI | 1285947150 |
---|---|
Provider Name | Ranie Elaine Patterson |
First Address | Pittsburgh, PA 15219-5114 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2010 |
Last Update Date | 25/03/2021 |