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NPI Code Detail

MEDICARE: LAURA J PATTON

MEDICARE: LAURA J PATTON
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
1225100000XPhysical TherapistPTH1750AL

General Provider Information

NPI Number : 1972916732
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA J PATTON
Provider Business Mailing Address
First Line : 509 EDGELAND PL
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-5231
Country : US
Telephone Number : 256-378-9212
Fax Number :
Provider Business Practice Location Address
First Line : 2949 JOHN HAWKINS PKWY
Second Line :
City : HOOVER
State : AL
Zip : 35244-1095
Country : US
Telephone Number : 205-396-1530
Fax Number : 205-396-1535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2014
Last Update Date : 06/09/2014

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Directions to “ LAURA J PATTON ” Practice Location

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