Provider Demographics
NPI:1215060629
Name:WEBB, PATTI Z (PT)
Entity type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:Z
Last Name:WEBB
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:PATTI
Other - Middle Name:
Other - Last Name:ZUFELT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:612 MALLARD DR
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-3008
Mailing Address - Country:US
Mailing Address - Phone:315-488-1724
Mailing Address - Fax:315-364-8016
Practice Address - Street 1:MANDEL THERAPY GROUP
Practice Address - Street 2:8842 STATE ROUTE 90
Practice Address - City:KING FERRY
Practice Address - State:NY
Practice Address - Zip Code:13081
Practice Address - Country:US
Practice Address - Phone:315-364-7570
Practice Address - Fax:315-364-8016
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004180-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist