Mildred Louise Pate, DT
NPI #1245415009 in Mc Leansboro, Illinois
Provider Information
- NPI Number
- 1245415009
- Entity Type
- Individual
- Name
- Mildred Louise Pate, DT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Credential
- DT
- Enumeration Date
- Dec 29, 2007
- Last Updated
- Dec 29, 2007
Practice Location
- Address
- RR 4 BOX 222
- City
- Mc Leansboro
- State
- Illinois
- ZIP Code
- 62859-9461
- Phone
- (618) 773-4541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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