| Doctor Name: | PATRICIA ANNE ROULEAU |
| NPI Number: | 1164490439 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, OCS |
| License Number: | PT 10755 |
| Business Practice Address: | 4720 Cleveland Heights Blvd Suite 101 Lakeland, FL - 338132243 |
| Business Phone Number: | 8636440007 |
| Business Fax Number: | 8636443377 |
| Mailing Address: | 4518 Hallam Hill Lane, LAKELAND |
| State: | FL |
| Postal Code: | 338131808 |
| Phone Number: | 8636440007 |
| Fax Number: | 8636443377 |
| NPI Enumeration Date: | 03/10/2006 |
| NPI Last Update Date: | 11/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 10755 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |