MEDICARE: NANCY A PATTERSON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6910	MA

General Provider Information

NPI Number	:	1891746558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY A PATTERSON PT

Provider Business Mailing Address
First Line	:	800 W CUMMINGS PARK
Second Line	:	SUITE 4650
City	:	WOBURN
State	:	MA
Zip	:	01801-6372
Country	:	US
Telephone Number	:	781-933-5476
Fax Number	:	781-933-5710

Provider Business Practice Location Address
First Line	:	800 W CUMMINGS PARK
Second Line	:	SUITE 4650
City	:	WOBURN
State	:	MA
Zip	:	01801-6372
Country	:	US
Telephone Number	:	781-933-5476
Fax Number	:	781-933-5710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	01/10/2008

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Directions to “ NANCY A PATTERSON PT” Practice Location

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