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Individual

DESTRY QUADE PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5263
Mailing address
2636 SOMERSET DR, NEW ORLEANS, LA 70131-5228
(504) 206-9000

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10739
LA

Other

Enumeration date
10/28/2020
Last updated
10/28/2020
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