MEDICARE: BETH ANN PATTERSON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	4616	FL

General Provider Information

NPI Number	:	1215051776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH ANN PATTERSON PT

Provider Business Mailing Address
First Line	:	6023 HAMMOCK WOODS DR
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-3330
Country	:	US
Telephone Number	:	813-920-6130
Fax Number	:

Provider Business Practice Location Address
First Line	:	21756 STATE ROAD 54 STE 102
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33549-2905
Country	:	US
Telephone Number	:	727-475-5540
Fax Number	:	844-213-8986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	10/24/2019

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Directions to “ BETH ANN PATTERSON PT” Practice Location

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