Individual
MRS. PATTI A MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
980 E WATER ST, LOCK HAVEN, PA 17745-1514
(570) 748-3928
(570) 748-3610
Mailing address
980 E WATER ST, LOCK HAVEN, PA 17745-1514
(570) 748-3928
(570) 748-3610
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT010978L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001911830
MA PROVIDER NUMBER
PA
Enumeration date
06/16/2008
Last updated
06/16/2008
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