Provider Demographics
NPI:1861583601
Name:HULL, PATRICK (AT,C)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:HULL
Suffix:
Gender:M
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6826
Mailing Address - Country:US
Mailing Address - Phone:203-837-9032
Mailing Address - Fax:203-837-9050
Practice Address - Street 1:181 WHITE ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6826
Practice Address - Country:US
Practice Address - Phone:203-837-9032
Practice Address - Fax:203-837-9050
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer