Individual
PATRICIA MAILLOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
141 CLIFTON ST, HAMPTON, VA 23661-2815
(586) 549-0174
Mailing address
141 CLIFTON ST, HAMPTON, VA 23661-2815
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119007373
VA
225X00000X
Occupational Therapist
Primary
5201008883
MI
374J00000X
Doula
—
—
Other
Enumeration date
06/14/2018
Last updated
11/17/2023
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