Patricia Felkel Anderson

Individual provider Active NPI Physical Therapy Assistant · Port Angeles, WA

NPI 1861698458 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861698458
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1479 (SC)
Practice address
825 E 5TH St
Port Angeles, WA 98362-3818
Phone
(360) 457-4916
Fax
(360) 457-4916
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1479SCMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1479 SC Yes

Addresses

Primary practice location

825 E 5TH St
Port Angeles, WA 98362-3818

Mailing address

347 Miles Rd
Port Angeles, WA 98362-7460
Phone (360) 457-1058

Other providers in Port Angeles, WA

All providers in Port Angeles, WA · Physical Therapy Assistant in Washington

Sources for this page

Verify at the official NPI Registry.