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Individual

JANA LEE PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/R

Contact information

Practice address
4650 HOEN AVE, SANTA ROSA, CA 95405-9407
(707) 546-0471
Mailing address
1454 GREAT HERON DR, SANTA ROSA, CA 95409-4360
(707) 321-5085

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
566
CA

Other

Enumeration date
08/27/2018
Last updated
08/27/2018
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