Provider Demographics
NPI:1154498707
Name:NORMAND, PATTI (OTR)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:
Last Name:NORMAND
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 VAUGHN RD NW
Mailing Address - Street 2:SUITE 130
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7801
Mailing Address - Country:US
Mailing Address - Phone:770-425-6661
Mailing Address - Fax:
Practice Address - Street 1:2015 VAUGHN RD NW
Practice Address - Street 2:SUITE 130
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7801
Practice Address - Country:US
Practice Address - Phone:770-425-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000245225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist