Provider Demographics
NPI:1336586494
Name:LITCHFIELD, PATTI (LPTA)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:
Last Name:LITCHFIELD
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:PATTI
Other - Middle Name:
Other - Last Name:GROVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:611 COLLETON LOOP
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-3069
Mailing Address - Country:US
Mailing Address - Phone:843-782-0022
Mailing Address - Fax:
Practice Address - Street 1:256 SMITH ST
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-4984
Practice Address - Country:US
Practice Address - Phone:843-782-4516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC867225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant