Individual
MRS. KRISTY RENEE FETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6351 W LAKE RD, ERIE, PA 16505-2676
(814) 314-1637
(814) 838-0583
Mailing address
6351 W LAKE RD, ERIE, PA 16505-2676
(814) 314-1637
(814) 838-0583
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005890
PA
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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