NPI 1205366150

Jennifer Lee Pate, PTA

Practitioner Physical Therapy Assistant College Station, TX

Practice location

Address: 1862 Rock Prairie Rd STE 202, College Station, TX 77845-6170
Phone: (979) 450-1914
Mailing address: 2020 Legacy Ln, College Station, TX 77840-6363

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2097499 (TX)

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Registry record

NPI: 1205366150
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2017
Record last updated: 14 Jun 2017

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.