Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XH1200X | Occupational Therapist - Hand | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1568938322 |
---|---|
Provider Name | Judith Jean Patrick |
First Address | Prairie Village, KS 66208-4043 |
Second Address | Sedalia, MO 65301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2018 |
Last Update Date | 02/11/2018 |