Individual
PATRICIA ANN AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11024 N 28TH DR STE 140, PHOENIX, AZ 85029
(602) 626-8851
Mailing address
485 S WATSON RD STE 103, BUCKEYE, AZ 85326-3453
(949) 394-3789
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7419
AZ
225X00000X
Occupational Therapist
2522
CA
Other
Enumeration date
01/29/2015
Last updated
05/23/2018
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