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Organization
PATTERSON PHYSICAL THERAPY INC
Active
Organization
PATTERSON PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH PATTERSON P.T. (PHYSICAL THERAPIST)
(410) 647-1961
Entity
Organization
Contact information
Practice address
650 RITCHIE HWY, SUITE 103, SEVERNA PARK, MD 21146-3916
(410) 647-1961
(410) 647-8276
Mailing address
650 RITCHIE HWY, SUITE 103, SEVERNA PARK, MD 21146-3916
(410) 647-1961
(410) 647-8276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16203
MD
225100000X
Physical Therapist
Primary
16229
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52100440
CAREFIRST
MD
01
—
52908331
CAREFIRST
MD
01
—
89575801
CAREFIRST
MD
01
—
N126-0001
BCBS
MD
01
—
N126-0002
BCBS
MD
01
—
N126-0003
BCBS
—
Enumeration date
07/04/2006
Last updated
10/31/2014
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