MEDICARE: LINDA JO PATTERSON MS, PT, OCS

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
2	225100000X	Physical Therapist	1028850	TX

General Provider Information

NPI Number	:	1912080292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA JO PATTERSON MS, PT, OCS

Provider Business Mailing Address
First Line	:	7447 CAMBRIDGE ST
Second Line	:	#108
City	:	HOUSTON
State	:	TX
Zip	:	77054-2029
Country	:	US
Telephone Number	:	713-398-7447
Fax Number	:	713-797-1223

Provider Business Practice Location Address
First Line	:	7447 CAMBRIDGE
Second Line	:	#108
City	:	HOUSTON
State	:	TX
Zip	:	77054-2029
Country	:	US
Telephone Number	:	713-398-7447
Fax Number	:	713-797-1223

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	05/19/2014

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