Provider Demographics
NPI:1235484395
Name:SLATER, PATRICIA ASHLEY (DPT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ASHLEY
Last Name:SLATER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:ASHLEY
Other - Last Name:FANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:170 N HENDERSON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2155
Mailing Address - Country:US
Mailing Address - Phone:610-755-3080
Mailing Address - Fax:610-755-3081
Practice Address - Street 1:170 N HENDERSON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2155
Practice Address - Country:US
Practice Address - Phone:610-755-3080
Practice Address - Fax:610-755-3081
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0221192251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic