Provider Demographics
NPI:1508171026
Name:SLOUGH, PATRICIA CLAIBORNE (PT)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:CLAIBORNE
Last Name:SLOUGH
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 1:2293 E JOYCE DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-2462
Mailing Address - Country:US
Mailing Address - Phone:760-320-5709
Mailing Address - Fax:760-320-5709
Practice Address - Street 1:74350 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-1608
Practice Address - Country:US
Practice Address - Phone:760-341-0261
Practice Address - Fax:760-779-1563
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30126225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist