Individual
MRS. AMANDA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2319 HIGHWAY 145, SALTILLO, MS 38866-9199
(662) 869-9980
(662) 869-9970
Mailing address
PO BOX 420, SALTILLO, MS 38866-0420
(662) 869-9980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3064
MS
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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