Provider Demographics
NPI:1891746558
Name:PATTERSON, NANCY A (PT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:PATTERSON
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 1:800 W CUMMINGS PARK
Mailing Address - Street 2:SUITE 4650
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6372
Mailing Address - Country:US
Mailing Address - Phone:781-933-5476
Mailing Address - Fax:781-933-5710
Practice Address - Street 1:800 W CUMMINGS PARK
Practice Address - Street 2:SUITE 4650
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6372
Practice Address - Country:US
Practice Address - Phone:781-933-5476
Practice Address - Fax:781-933-5710
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6910225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist