Provider Demographics
NPI:1093941015
Name:PATRIKIOS, LINDA MARIE (PT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:PATRIKIOS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1108 DRESSER CT
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7328
Mailing Address - Country:US
Mailing Address - Phone:919-876-8302
Mailing Address - Fax:919-954-8706
Practice Address - Street 1:5209 SANDY FORKS ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609
Practice Address - Country:US
Practice Address - Phone:919-954-3492
Practice Address - Fax:919-954-3942
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2279225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist