Individual
GLENDA PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0989
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023169
—
OR
01
—
084171005
BCBS
OR
Enumeration date
12/19/2005
Last updated
07/21/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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