Provider Demographics
NPI:1578652350
Name:CAHOJ, PATRICIA ANITA (PT, MS, DPT, GCS)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANITA
Last Name:CAHOJ
Suffix:
Gender:F
Credentials:PT, MS, DPT, GCS
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:ANITA
Other - Last Name:TUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:901 S NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65897-0027
Mailing Address - Country:US
Mailing Address - Phone:417-836-3070
Mailing Address - Fax:417-836-3032
Practice Address - Street 1:606 E CHERRY ST
Practice Address - Street 2:ROOM 100
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65806-3401
Practice Address - Country:US
Practice Address - Phone:417-836-3070
Practice Address - Fax:417-836-3032
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR0950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist