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Individual

AILENA SOWDEN PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5405 BABCOCK ST NE, PALM BAY, FL 32905-5020
(321) 722-0660
Mailing address
5405 BABCOCK ST NE, PALM BAY, FL 32905-5020
(321) 722-0660

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13395
FL

Other

Enumeration date
05/25/2018
Last updated
05/25/2018
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