Individual
MS. KIMBERLEY MARIE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
175 HETCHELTOWN RD, SCOTIA, NY 12302-5821
(518) 557-2792
Mailing address
905 SOUTHWEST AVE APT 5, JOHNSON CITY, TN 37604-6678
(941) 587-8749
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007590-1
NY
Other
Enumeration date
09/08/2010
Last updated
02/27/2023
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