Individual
MRS. JENNIFER CHERESE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
430 W MAIN ST, DOTHAN, AL 36301-1616
(334) 677-6955
Mailing address
202 DARLINGTON CIR, DOTHAN, AL 36301-4602
(334) 333-3002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2286
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2286
OCCUPATIONAL THERAPY LIC
AL
Enumeration date
12/05/2006
Last updated
07/08/2007
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