Provider Demographics
NPI:1083859243
Name:COLVIN, PATRICIA F (OTR)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:F
Last Name:COLVIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3355 CHERRY RIDGE ST
Mailing Address - Street 2:STE. 209
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4815
Mailing Address - Country:US
Mailing Address - Phone:210-366-1575
Mailing Address - Fax:
Practice Address - Street 1:3355 CHERRY RIDGE ST
Practice Address - Street 2:STE. 209
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4815
Practice Address - Country:US
Practice Address - Phone:210-366-1575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002433225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist