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Organization

NICOLE PATTERSON, LLC

Active
Other names
Nicole Patterson, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE PATTERSON MSOT OTR/L (OT, OWNER)
(678) 577-1748
Entity
Organization

Contact information

Practice address
5219 SUWANEE DAM RD, SUWANEE, GA 30024-1721
(678) 577-1748
Mailing address
5219 SUWANEE DAM RD, SUWANEE, GA 30024-1721
(678) 577-1748

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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