Individual
KATIE L. PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17706 I-30, BENTON, AR 72019-2907
(501) 315-4414
Mailing address
17706 I-30, BENTON, AR 72019-2907
(501) 315-4414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A707
AR
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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