Individual
MRS. SHERRI JO PATILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1782 N 800 E, AVILLA, IN 46710-9626
(260) 349-5067
Mailing address
1782 N 800 E, AVILLA, IN 46710-9626
(260) 349-5067
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001721A
IN
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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