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NPI Code Detail

MEDICARE: BRIANNA PATTERSON

MEDICARE:   BRIANNA  PATTERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist0119006694VA
2225XP0200XPediatric Occupational TherapistOC015722PA

General Provider Information

NPI Number : 1700262631
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA PATTERSON
Provider Business Mailing Address
First Line : 100 CORPORATE CENTER DR STE 105
Second Line :
City : CORAOPOLIS
State : PA
Zip : 15108-4332
Country : US
Telephone Number : 412-742-0964
Fax Number :
Provider Business Practice Location Address
First Line : 100 CORPORATE CENTER DR STE 105
Second Line :
City : CORAOPOLIS
State : PA
Zip : 15108-4332
Country : US
Telephone Number : 412-742-0964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 04/18/2023

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Directions to “ BRIANNA PATTERSON ” Practice Location

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