Provider Demographics
NPI:1861897522
Name:PATTERSON, RENEA LYNN (OT)
Entity type:Individual
Prefix:MRS
First Name:RENEA
Middle Name:LYNN
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 ALEXANDRIA RD
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-8334
Mailing Address - Country:US
Mailing Address - Phone:509-670-6260
Mailing Address - Fax:
Practice Address - Street 1:603 N MISSION ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2049
Practice Address - Country:US
Practice Address - Phone:509-884-4357
Practice Address - Fax:509-888-4601
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00003323111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health