Provider Demographics
NPI:1487801346
Name:ACERRA, PATRICIA DIANE (AP, LMT)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:DIANE
Last Name:ACERRA
Suffix:
Gender:F
Credentials:AP, LMT
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:DIANE
Other - Last Name:LENOCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2335 9TH ST N
Mailing Address - Street 2:MOORINGS PROF BLDG, SUITE 303B
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4456
Mailing Address - Country:US
Mailing Address - Phone:239-659-9100
Mailing Address - Fax:
Practice Address - Street 1:2335 9TH ST N
Practice Address - Street 2:MOORINGS PROF BLDG, SUITE 303B
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4456
Practice Address - Country:US
Practice Address - Phone:239-659-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1299171100000X
FLMA18241225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist