Provider Demographics
NPI:1427048255
Name:POSTA, PATRICIA JOY (PT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JOY
Last Name:POSTA
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 1:1915 MERINO PLACE
Mailing Address - Street 2:
Mailing Address - City:COMOX
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:937
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:552 S PASEO DOROTEA STE 4
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-1437
Practice Address - Country:US
Practice Address - Phone:760-325-5950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007284225100000X
CA33950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8343790Medicaid
WAS76663Medicare UPIN
WAAB08624Medicare ID - Type Unspecified