NPI 1164022141

Destry Quade Patterson, PTA

Practitioner Physical Therapy Assistant New Orleans, LA

Practice location

Address: 1415 Tulane Ave, New Orleans, LA 70112-2600
Phone: (504) 988-5263
Mailing address: 2636 Somerset Dr, New Orleans, LA 70131-5228

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A10739 (LA)

Other Physical Therapy Assistant providers in Louisiana →

Registry record

NPI: 1164022141
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2020
Record last updated: 28 Oct 2020

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.