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TRISTEN LEE PATTERSON

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1275052920

Individual Registrant:
 TRISTEN LEE PATTERSON 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4255 NOTASULGA RD  TALLASSEE, AL 36078-6033 US
Tel: 334-415-8717  Fax: --

Contact information for business:
PO BOX 780942  TALLASSEE, AL 36078-0010 US
Tel: 334-415-8717  Fax: --

Registration Information:
NPI: 1275052920
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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