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Individual

MRS. PATTI BURRIS DEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
5114 PROVIDENCE RD, CHARLOTTE, NC 28226-5852
(704) 364-2485
(704) 364-2485
Mailing address
1805 PARKS LAFFERTY RD, CONCORD, NC 28025-1256
(704) 795-5519
(704) 364-2485

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3085
NC

Other

Enumeration date
06/22/2010
Last updated
06/22/2010
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