Individual
JUDITH LEE PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
232 ALPINE DR, PAGOSA SPRINGS, CO 81147-9557
(575) 759-2950
Mailing address
PO BOX 547, 113 HAWK DRIVE, DULCE, NM 87528-0547
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
208829
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.0000520
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
07/31/2017
Last updated
07/31/2017
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