Provider Demographics
NPI:1376167874
Name:ANDERSON, PATRICIA ROCIO (RPT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ROCIO
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ROCIO
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPT
Mailing Address - Street 1:6801 US HIGHWAY 27 N STE D3
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1046
Mailing Address - Country:US
Mailing Address - Phone:863-314-8600
Mailing Address - Fax:863-314-8556
Practice Address - Street 1:6801 US HIGHWAY 27 N STE D3
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1046
Practice Address - Country:US
Practice Address - Phone:863-314-8600
Practice Address - Fax:863-314-8556
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist