Provider Demographics
NPI:1578176780
Name:COMMER, PATRICIA ISABELLA (DPT)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ISABELLA
Last Name:COMMER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 BOTELHO DR STE 115
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5086
Mailing Address - Country:US
Mailing Address - Phone:925-210-0321
Mailing Address - Fax:
Practice Address - Street 1:4146 RANDOLPH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-1314
Practice Address - Country:US
Practice Address - Phone:510-932-9569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA322712251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic