Provider Demographics
NPI:1194973875
Name:PATTERSON, APRIL LOUISE (PT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LOUISE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 BELLAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-1528
Mailing Address - Country:US
Mailing Address - Phone:323-683-7247
Mailing Address - Fax:323-683-7247
Practice Address - Street 1:4343 BELLAIRE AVE
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1528
Practice Address - Country:US
Practice Address - Phone:323-683-7247
Practice Address - Fax:323-683-7247
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT32419225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT32419OtherLICENSE NUMBER