Provider Demographics
NPI:1053559294
Name:TSCHANNEN, PATRICIA ELLEN (PT)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ELLEN
Last Name:TSCHANNEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:110 SPRING ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-3302
Mailing Address - Country:US
Mailing Address - Phone:518-573-3502
Mailing Address - Fax:518-430-1541
Practice Address - Street 1:110 SPRING ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-3302
Practice Address - Country:US
Practice Address - Phone:518-573-3502
Practice Address - Fax:518-430-1541
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY020603-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist