Individual
XAVIER PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
S77W12929 MCSHANE DR, MUSKEGO, WI 53150
(414) 529-0100
Mailing address
400 N RICHMOND ST UNIT 308, APPLETON, WI 54911-4697
(920) 574-1677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5486-27
WI
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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