Individual
KATELYNN PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
307 GRAND AVE NW, FORT PAYNE, AL 35967-2109
(256) 601-3015
Mailing address
201 2ND AVE W APT 301, CENTRE, AL 35960-1907
(256) 557-8635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5561
AL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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