Provider Demographics
NPI:1386071132
Name:PATTERSON, ROBIN L (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:L
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MISS
Other - First Name:ROBIN
Other - Middle Name:LYNNE
Other - Last Name:SUTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:718 S DARGAN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2561
Mailing Address - Country:US
Mailing Address - Phone:843-673-2694
Mailing Address - Fax:
Practice Address - Street 1:718 S DARGAN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2561
Practice Address - Country:US
Practice Address - Phone:843-673-2694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3231224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant