Individual
MRS. ELMI ANN PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1700 W WASHINGTON ST, SPRINGFIELD, IL 62702-6420
(217) 793-0431
Mailing address
406 HARRISON ST, PAWNEE, IL 62558-9708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.004496
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006738
NBCOT
—
Enumeration date
03/15/2018
Last updated
03/15/2018
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