Provider Demographics
NPI:1154639144
Name:PATTE, SARAH JUNE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JUNE
Last Name:PATTE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SPRUCE RUN RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-7500
Mailing Address - Country:US
Mailing Address - Phone:570-523-8109
Mailing Address - Fax:
Practice Address - Street 1:100 SPRUCE RUN RD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-7500
Practice Address - Country:US
Practice Address - Phone:570-523-8109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012141L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist