Individual
KELLY J PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 PENNYROYAL LN, CELINA, OH 45822-3134
(419) 586-9235
Mailing address
1100 PENNYROYAL LN, CELINA, OH 45822-3134
(419) 586-9235
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003362A
IN
225200000X
Physical Therapy Assistant
06700
OH
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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