Doctor Name: | BRIANNA PATANE |
NPI Number: | 1134529738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 40QA01544100 |
Business Practice Address: | 325 Us Highway 22 Suite 3 Green Brook, NJ - 088121761 |
Business Phone Number: | 7328059005 |
Business Fax Number: | |
Mailing Address: | 325 Us Highway 22, Suite 3 GREEN BROOK |
State: | NJ |
Postal Code: | 088121761 |
Phone Number: | 7328059005 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2014 |
NPI Last Update Date: | 09/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA01544100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |