Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT14632 | FL |
NPI | 1295009496 |
---|---|
Provider Name | Patrick Michael Pritchett |
First Address | Destin, FL 32541-5127 |
Second Address | Destin, FL 32541-5127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2012 |
Last Update Date | 06/03/2012 |