Individual
QUERIDA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROSEWOOD VILLAGE DR, SWANSEA, IL 62226-2301
(618) 236-1391
Mailing address
1126 LYONSHALL BLVD, SWANSEA, IL 62226-8523
(618) 407-7639
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001730
IL
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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