Patrick, Tammy Gail

Patrick, Tammy Gail is an sole proprietor health care provider with primary practice located at 31500 Winding Way , Fort Bragg CA 95437-8271. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Patrick, Tammy Gail can be contacted via phone (707) 964-1208.

Contact Information

Primary practice address
31500 Winding Way Fort Bragg CA 95437-8271
Phone: (707) 964-1208
Fax: (707) 964-2269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT11749 California

Profile Details

NPI number 1063416915
LBN Legal business name Patrick, Tammy Gail
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Oct 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063416915 NPPES
California MEDICAID PT0117490

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