Individual
MRS. PATTY ALLEN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10809
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720208
—
LA
Enumeration date
04/18/2008
Last updated
04/18/2008
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