Individual
KATHRYN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
454 LIPAN AVE, MESCALERO, NM 88340
(575) 464-4802
Mailing address
PO BOX 35, HIGH ROLLS MOUNTAIN PARK, NM 88325-0035
(575) 937-5767
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4137
NM
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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