Healthcare Provider Details

I. General information

NPI: 1083866701
Provider Name (Legal Business Name): MARCIA L PATTERSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2008
Last Update Date: 10/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 PERRY HWY
PITTSBURGH PA
15237-2114
US

IV. Provider business mailing address

5117 KARRINGTON DR
GIBSONIA PA
15044-6007
US

V. Phone/Fax

Practice location:
  • Phone: 412-369-9955
  • Fax:
Mailing address:
  • Phone: 724-443-1906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOC007140L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: