Healthcare Provider Details

I. General information

NPI: 1336518497
Provider Name (Legal Business Name): LUCY PATTON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LUCY COX

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 FALLS CREEK DR
VANDALIA OH
45377-8600
US

IV. Provider business mailing address

6480 HARRISON AVE STE 201
CINCINNATI OH
45247-7961
US

V. Phone/Fax

Practice location:
  • Phone: 937-298-2584
  • Fax: 937-298-0894
Mailing address:
  • Phone: 513-713-1779
  • Fax: 513-854-9921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-006773
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License NumberPT016663
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016663
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: