Individual
SHELLY LYNN PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 BIRCH LN, WAYNESVILLE, MO 65583-2275
(573) 774-6456
(573) 774-6778
Mailing address
621 TERRY LN, CAPE GIRARDEAU, MO 63701-4420
(573) 774-6456
(573) 774-6778
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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