Provider Demographics
NPI:1891825006
Name:PATTERSON, LAURA BETH (MA)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:BETH
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 S EASTERN AVE STE 550
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-2923
Mailing Address - Country:US
Mailing Address - Phone:626-831-4262
Mailing Address - Fax:
Practice Address - Street 1:5701 S EASTERN AVE STE 550
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-2923
Practice Address - Country:US
Practice Address - Phone:626-831-4262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner