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Individual

ESSIE F PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL CHT

Contact information

Practice address
3033 N WINDSONG DR, STE 205, PRESCOTT VALLEY, AZ 86314-2290
(928) 775-4499
(928) 115-1546
Mailing address
690 N COFCO CENTER CT, STE 260, PHOENIX, AZ 85008-6462
(602) 279-6905
(888) 445-4263

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0802
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
486622
AZ
01
Z113264
MEDICARE GROUP
AZ
01
Z113265
MEDICARE GROUP
AZ
Enumeration date
10/11/2005
Last updated
11/08/2007
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