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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PATRICIA LYNN ETHERIDGE, PT

Active Sole Proprietor

PATRICIA LYNN ETHERIDGE, PT is a Pediatric Occupational Therapy healthcare provider located in NICEVILLE, Florida. NPI 1285890632 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · NICEVILLE, FL

Registration Details

NPI Number
1285890632
Provider Type
Individual
Gender
Female
NPI Issued
Aug 5, 2008 (18.055091105144 yrs)
Last Updated
Feb 1, 2011
License
PT 24137 (FL)
Sole Proprietor
Yes

Practice Information

Address
1727 LILABERRY LANE
NICEVILLE, FL, 325788742
Browse FL providers · Browse ZIP 32578
Phone
8506874167
Fax
8508076677
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.