Individual
MADELINE SARA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTRL
Contact information
Practice address
9111 MONROE RD STE 100, CHARLOTTE, NC 28270-2460
(630) 947-3591
Mailing address
9111 MONROE RD STE 100, CHARLOTTE, NC 28270-2460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15166
NC
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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