Individual
KATELYN BROOKE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 WAYNE FRYE DR, MANCHESTER, OH 45144-9314
(937) 549-4777
Mailing address
2931 SUNRISE AVE, PORTSMOUTH, OH 45662-2250
(740) 352-5284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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