NPI 1720338882 · live from the CMS NPI Registry
Patricia J Akovenko, PT
Physical Therapist in Prescott, AZ. National Provider Identifier 1720338882, active.
NPI record
| NPI | 1720338882 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 220 W Goodwin St, Ste 10-C, Prescott, AZ 86303 |
| Practice phone | 928-830-2611 |
| Enumerated | September 17, 2012 |
| Last updated | September 17, 2012 |
| Sole proprietor | Yes |
| Other names | Patty Akovenko |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 8696 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.