Individual
KELLY M PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6455 PEARL RD, PARMA HEIGHTS, OH 44130-2984
(440) 888-5900
Mailing address
8883 HOLLY LN, OLMSTED FALLS, OH 44138-2701
(440) 503-4592
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 02478
OH
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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