Individual
MS. TERESA LYNN PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
128 GRESHAM LN, JACKSBORO, TX 76458-4425
(940) 567-5675
Mailing address
128 GRESHAM LN, JACKSBORO, TX 76458-4425
(940) 567-5675
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206881
TX
Other
Enumeration date
06/26/2007
Last updated
09/06/2023
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