Provider Demographics
NPI:1568009363
Name:PATTERSON, MADDIE (DPT)
Entity Type:Individual
Prefix:
First Name:MADDIE
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MADDIE
Other - Middle Name:
Other - Last Name:BENDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7452 ADMIRAL PEARY HWY STE 3
Practice Address - Street 2:
Practice Address - City:CRESSON
Practice Address - State:PA
Practice Address - Zip Code:16630-1706
Practice Address - Country:US
Practice Address - Phone:814-408-2092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-30
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027848225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist