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Individual

MS. JENNIFER ELAINA PATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT/L, CLT

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
113223
TX
171W00000X
Contractor
1560
OK
225X00000X
Occupational Therapist
Primary
1560
OK

Other

Enumeration date
01/08/2010
Last updated
08/21/2024
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