Provider Demographics
NPI:1467683052
Name:PRICE, PATRICIA (PT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 N 3RD ST
Mailing Address - Street 2:STE 202
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-5592
Mailing Address - Country:US
Mailing Address - Phone:740-349-9777
Mailing Address - Fax:740-349-0787
Practice Address - Street 1:51 N 3RD ST
Practice Address - Street 2:STE 202
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5592
Practice Address - Country:US
Practice Address - Phone:740-349-9777
Practice Address - Fax:740-349-0787
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-03056225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist