Individual
PATRICIA WORSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
205 1/2 E BROADWAY AVE, FAIRFIELD, IA 52556-2904
(816) 261-4773
Mailing address
205 1/2 E BROADWAY AVE, FAIRFIELD, IA 52556-2904
(816) 261-4773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
084982
IA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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