Provider Demographics
NPI:1427638857
Name:PATTON, AUBRIE (OTR)
Entity type:Individual
Prefix:
First Name:AUBRIE
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10803 SAINT MARYS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3619
Mailing Address - Country:US
Mailing Address - Phone:713-516-0373
Mailing Address - Fax:
Practice Address - Street 1:10803 SAINT MARYS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3619
Practice Address - Country:US
Practice Address - Phone:713-516-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112216225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist