Provider Demographics
NPI:1760508576
Name:VOLKENS, PATRICE POWER (MOT)
Entity type:Individual
Prefix:MRS
First Name:PATRICE
Middle Name:POWER
Last Name:VOLKENS
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6958 CRANBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2764
Mailing Address - Country:US
Mailing Address - Phone:440-838-1571
Mailing Address - Fax:440-838-1573
Practice Address - Street 1:7000 TOWN CENTRE DR STE 400
Practice Address - Street 2:
Practice Address - City:BROADVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44147-4008
Practice Address - Country:US
Practice Address - Phone:440-526-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003403225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist