Provider Demographics
NPI:1215287230
Name:PATTON, ELIZABETH MARY (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:MARY
Last Name:PATTON
Suffix:
Gender:F
Credentials:OTR/L
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7165 BELLE FONTAINE BLVD
Mailing Address - Street 2:#211
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-1083
Mailing Address - Country:US
Mailing Address - Phone:815-403-5203
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:MAIL STOP 2424
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-2424
Practice Address - Country:US
Practice Address - Phone:608-263-8060
Practice Address - Fax:608-262-7679
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist