Organization
SHANNON PATTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RENEE PATTON (COTA)
(314) 427-7825
Entity
Organization
Contact information
Practice address
9993 FOX HALL CT, SAINT ANN, MO 63074-2003
(314) 427-7825
(314) 427-7825
Mailing address
9993 FOX HALL CT, SAINT ANN, MO 63074-2003
(314) 427-7825
(314) 427-7825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2006033512
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224Z00000Z
OCCUPATIONAL THERAPY ASSISTANT
MO
Enumeration date
09/15/2010
Last updated
09/15/2010
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