Healthcare Provider Details

I. General information

NPI: 1972883866
Provider Name (Legal Business Name): PATRICIA ALDRICH DN, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1971 W SILVERBELL RD
LAKE ORION MI
48359-1248
US

IV. Provider business mailing address

1971 W SILVERBELL RD
LAKE ORION MI
48359-1248
US

V. Phone/Fax

Practice location:
  • Phone: 248-393-8633
  • Fax:
Mailing address:
  • Phone: 248-393-8633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number62262108
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: