Individual
MS. PATRICIA NUSE PRATT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MOT, OTL
Contact information
Practice address
46 TIMBERLAKE DR, CLEVELAND, GA 30528-4082
(706) 892-8400
(706) 865-7715
Mailing address
46 TIMBERLAKE DR, CLEVELAND, GA 30528-4082
(706) 892-8400
(706) 865-7715
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT000066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007302785
AETNA
GA
01
—
52052808
BLUE CROSS/BLUE SHIELD GA
GA
Enumeration date
06/02/2006
Last updated
07/09/2007
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