Individual
NYLA AUTUMN PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
821 WASHINGTON WAY, LONGVIEW, WA 98632-4027
(360) 759-1500
Mailing address
PO BOX 1942, KALAMA, WA 98625-1700
(207) 563-7566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60743707
WA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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