Paten Lane Willis, OTR/L

NPI #1831475318 in Canton, Georgia

Provider Information

NPI Number
1831475318
Entity Type
Individual
Name
Paten Lane Willis, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Pediatrics
Credential
OTR/L
Enumeration Date
Oct 27, 2011
Last Updated
Oct 27, 2011

Practice Location

Address
310 PAPER TRAIL WAY
Address 2
STE 302
City
Canton
State
Georgia
ZIP Code
30115-5203
Phone
(770) 345-2804

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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