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Contact Information

PATRICIA A AUGUSTINE, COTA/L
11024 N 28TH DR STE 140
PHOENIX, AZ85029
 Phone: 602-626-8851
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PATRICIA A AUGUSTINE · (Female)

NPI Number 1619367513
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 01/29/2015
Last updated 05/23/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 7419
  • CA License # 2522
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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