Healthcare Provider Details

I. General information

NPI: 1780700070
Provider Name (Legal Business Name): PATRICIA ANN WESSELS PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 COPPERMINE TER
BALTIMORE MD
21209-2012
US

IV. Provider business mailing address

34 E 26TH ST
BALTIMORE MD
21218-4542
US

V. Phone/Fax

Practice location:
  • Phone: 443-873-0040
  • Fax:
Mailing address:
  • Phone: 443-873-0040
  • Fax: 847-716-2297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number25245
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: