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CHRISTINE ANNETTE PATTISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012437A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001105750
ANTHEM PROVIDER NUMBER
IN
05
PENDING
IN
Enumeration date
08/09/2017
Last updated
09/11/2017
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