Individual
PERETHA FAYE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
15 SAINT WILLIAMS WAY, STAFFORD, VA 22556-3640
(540) 287-8002
Mailing address
15 SAINT WILLIAMS WAY, STAFFORD, VA 22556-3640
(540) 287-8002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131000208
COMMONWEALTH OF VIRGINIA, DEPARTMENT OF HEALTH PROFESSIONS, LICENSE
VA
Enumeration date
06/13/2007
Last updated
01/31/2011
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