Provider Demographics
NPI:1841413721
Name:PATT, TONI MICHEL (PT)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:MICHEL
Last Name:PATT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2514 MEADOWHURST DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8614
Mailing Address - Country:US
Mailing Address - Phone:281-465-7471
Mailing Address - Fax:
Practice Address - Street 1:2514 MEADOWHURST DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8614
Practice Address - Country:US
Practice Address - Phone:281-465-7471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1062388225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist