Individual
MS. MATILDA ANNA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
238 SEQUOYAH CIR, MORGANTON, NC 28655-6804
(828) 413-3481
Mailing address
238 SEQUOYAH CIR, MORGANTON, NC 28655-6804
(828) 413-3481
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0429
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049
OT LICENSE
NC
Enumeration date
10/18/2019
Last updated
10/18/2019
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