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Individual

MR. PATRICK CHANDLER ROUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
610 HIGH ST, COAL GROVE, OH 45638-2910
(740) 442-0828
Mailing address
610 HIGH ST, COAL GROVE, OH 45638-2910
(740) 442-0828

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1631
WV
225X00000X
Occupational Therapist
OT.008322
OH
225X00000X
Occupational Therapist
R5527
KY

Other

Enumeration date
04/22/2013
Last updated
04/22/2013
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