Provider Demographics
NPI:1851164495
Name:PATTERSON, ERIK LANE (PT)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:LANE
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 HIGHWAY 21 STE 403
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-3441
Mailing Address - Country:US
Mailing Address - Phone:985-792-5996
Mailing Address - Fax:985-792-5998
Practice Address - Street 1:303 W MINNESOTA PARK RD STE A
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-6149
Practice Address - Country:US
Practice Address - Phone:985-549-1900
Practice Address - Fax:985-549-1888
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11671225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist