Individual
VICKY ELLEN PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2124 NORTHWESTERN AVENUE, WEST BEND, WI 53090
(262) 338-6086
Mailing address
2124 NORTHWESTERN AVE, WEST BEND, WI 53090-1628
(262) 338-6086
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4952-27
WI
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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