Provider Demographics
NPI:1649558800
Name:FINNEGAN-PATTERSON, KERRY LYMAN (DPT)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:LYMAN
Last Name:FINNEGAN-PATTERSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:LYMAN
Other - Last Name:FINNEGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:683 BRANNAN ST
Mailing Address - Street 2:UNIT 303
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1591
Mailing Address - Country:US
Mailing Address - Phone:608-772-5117
Mailing Address - Fax:
Practice Address - Street 1:1150 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2037
Practice Address - Country:US
Practice Address - Phone:650-299-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38067225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist