Provider Demographics
NPI:1568773307
Name:SITTON, PATRICIA LYNNE (MSPT)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LYNNE
Last Name:SITTON
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 OSGOOD CT
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-3630
Mailing Address - Country:US
Mailing Address - Phone:415-601-1145
Mailing Address - Fax:
Practice Address - Street 1:321 3RD ST
Practice Address - Street 2:# F
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2306
Practice Address - Country:US
Practice Address - Phone:415-601-1145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-26
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 196532251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic