Individual
DAKOTA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 CENTRAL AVE, SEARCY, AR 72143-7328
(501) 305-3305
Mailing address
118 CENTRAL AVENUE, SEARCY, AR 72143
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
222Q00000X
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750457842
—
AR
Enumeration date
09/06/2017
Last updated
09/06/2017
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