Provider Demographics
NPI:1447647284
Name:PATTERSON, VICTORIA ROSE (PT)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ROSE
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 1:457 WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1924
Mailing Address - Country:US
Mailing Address - Phone:610-405-8255
Mailing Address - Fax:
Practice Address - Street 1:457 WILLOW RD
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1924
Practice Address - Country:US
Practice Address - Phone:703-686-5497
Practice Address - Fax:571-376-6794
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025145225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist