Provider Demographics
NPI:1710052154
Name:HAND, PATRICK M (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:M
Last Name:HAND
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3143 S BROOKS CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-8106
Mailing Address - Country:US
Mailing Address - Phone:602-357-4771
Mailing Address - Fax:602-357-4775
Practice Address - Street 1:3143 S BROOKS CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-8106
Practice Address - Country:US
Practice Address - Phone:602-357-4771
Practice Address - Fax:602-357-4775
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ119351Medicare PIN