Individual provider · Type 1 NPI
Patricia Lynn Etheridge, PT
Pediatric Physical Therapist · Niceville, FL
Practice location
1727 Lilaberry Lane
Niceville, FL 32578-8742
Fax (850) 807-6677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT 24137 (FL) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1285890632
Patricia Lynn Etheridge, PT's National Provider Identifier is 1285890632, issued on Aug 5, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Niceville, FL. The record was last updated on Feb 1, 2011.