Individual
PATRICIA N BARRACK
Active
Individual
PATRICIA N BARRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT30338
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE #5041
PHYSICAL THERAPY LICENSE
OR
01
—
LPT-30338
AZ BOARD OF PHYSICAL THERAPY
AZ
Enumeration date
09/26/2006
Last updated
07/25/2022
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