Doctor Name: | LISA ANN PATAKY |
NPI Number: | 1386994721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0353451 |
Business Practice Address: | 800 5th Ave Ste 150 Fort Worth, TX - 761047300 |
Business Phone Number: | 8172507500 |
Business Fax Number: | 8172507501 |
Mailing Address: | 800 5th Ave, Ste 150 FORT WORTH |
State: | TX |
Postal Code: | 761047300 |
Phone Number: | 8172507500 |
Fax Number: | 8172507501 |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 12/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0353451 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |