Healthcare Provider Details

I. General information

NPI: 1407840861
Provider Name (Legal Business Name): HEATHER E PATTERSON DPT ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER E HARPEL DPT ATC

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 CYPRESS CREEK RD SUITE 103
CEDAR PARK TX
78613-3924
US

IV. Provider business mailing address

1103 CYPRESS CREKK ROAD SUITE 103
CEDAR PARK TX
78613
US

V. Phone/Fax

Practice location:
  • Phone: 512-918-0044
  • Fax: 512-918-0045
Mailing address:
  • Phone: 512-868-0820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1440
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: