Provider Demographics
NPI:1821434507
Name:HERRINGTON, PATRICIA RAIZEL UMALI (PT)
Entity Type:Individual
Prefix:
First Name:PATRICIA RAIZEL
Middle Name:UMALI
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:PATRICIA RAIZEL
Other - Middle Name:SY
Other - Last Name:UMALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8443 MIDDLETON CIR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-8331
Mailing Address - Country:US
Mailing Address - Phone:630-460-6545
Mailing Address - Fax:
Practice Address - Street 1:8443 MIDDLETON CIR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-8331
Practice Address - Country:US
Practice Address - Phone:630-460-6545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist