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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. PATRICIA ANNE FENNER, COTA

Active Sole Proprietor

MS. PATRICIA ANNE FENNER, COTA is a Occupational Therapy Assistant healthcare provider located in MANTENO, Illinois. NPI 1477759579 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MANTENO, IL

Registration Details

NPI Number
1477759579
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2007 (19.125863882671 yrs)
Last Updated
Jul 8, 2007
License
32000088A (IN)
Sole Proprietor
Yes

Practice Information

Address
510 BRAMBLE ST
MANTENO, IL, 609508303
Browse IL providers · Browse ZIP 60950
Phone
7087079088
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.