Individual
MISS PATRICIA ALYSE MUSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
902 PROVIDENT DR STE C, WARSAW, IN 46580-3379
(574) 376-2316
(574) 306-2208
Mailing address
902 PROVIDENT DR STE C, WARSAW, IN 46580-3379
(574) 376-2316
(574) 306-2208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006713A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31006713A
OCCUPATIONAL THERAPY LICENSE
IN
Enumeration date
08/14/2018
Last updated
08/14/2018
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