Individual
JENNIFER MAE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5131
Mailing address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
778657
—
AZ
Enumeration date
12/19/2005
Last updated
04/26/2021
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