Doctor Name: | MRS. PATTI A MCDONALD |
NPI Number: | 1295995975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, PT |
License Number: | PT010978L |
Business Practice Address: | 980 E Water St Lock Haven, PA - 177451514 |
Business Phone Number: | 5707483928 |
Business Fax Number: | 5707483610 |
Mailing Address: | 980 E Water St, LOCK HAVEN |
State: | PA |
Postal Code: | 177451514 |
Phone Number: | 5707483928 |
Fax Number: | 5707483610 |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT010978L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |