Individual
MADISYN LENORA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7022 SARDIS RD, CHARLOTTE, NC 28270-6058
(704) 366-8260
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BCH, FL 33441-1817
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
13513
NC
Other
Enumeration date
09/19/2017
Last updated
01/24/2021
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