Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paten Lane Willis, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1831475318

Paten Lane Willis, OTR/L is a Pediatric Occupational Therapist in Canton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

310 Paper Trail Way Ste 302
Canton, GA 30115-5203
Phone: (770) 345-2804
Fax: (678) 827-0927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT005366 (GA)

Record details

NPI number1831475318
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 27, 2011
Last updated in NPPESOctober 27, 2011

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