Individual
TRACI PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1802 SAINT FRANCIS ST, KENNETT, MO 63857-1568
(573) 888-1044
Mailing address
1802 SAINT FRANCIS ST, KENNETT, MO 63857-1568
(573) 888-1044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001018686
MO
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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