Whalio Doctors

NPI 1013027275

Patricia Pack, PT

Practitioner Pediatric Rehabilitation Medicine Physician Muskogee, OK

Practice location

Address
1111 N 36th St, Muskogee, OK 74401-1809
Phone
(918) 683-4621
Fax
(918) 683-4002
Mailing address
Hc 60 Box 205, Checotah, OK 74426-9408

Registered specialties

Pediatric Rehabilitation Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081P0010X Licence 425 (OK)

Registry record

NPI
1013027275
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Aug 2006
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.