Provider Demographics
NPI:1477107845
Name:PATTERSON, CASSIDY ERIN (OTD)
Entity Type:Individual
Prefix:
First Name:CASSIDY
Middle Name:ERIN
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:CASSIDY
Other - Middle Name:ERIN
Other - Last Name:GEBHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7900 E ARROWHEAD PKWY APT 106
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-7010
Mailing Address - Country:US
Mailing Address - Phone:605-695-4762
Mailing Address - Fax:
Practice Address - Street 1:810 E 23RD ST FL 2
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2135
Practice Address - Country:US
Practice Address - Phone:605-322-5150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1132225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist