Individual
ROBERT PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
2120 FOREST AVE, SUITE 3, SAN JOSE, CA 95128-1478
(408) 217-9387
(408) 564-0138
Mailing address
2120 FOREST AVE, SUITE 3, SAN JOSE, CA 95128-1478
(408) 217-9387
(408) 564-0138
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO001238
CA
225000000X
Orthotic Fitter
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XA0012380
—
CA
Enumeration date
02/08/2011
Last updated
10/14/2013
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