Individual
REBECCA LEE PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 JENSEN ST, ENUMCLAW, WA 98022-3605
(360) 825-2541
Mailing address
13116 226TH ST E, GRAHAM, WA 98338-7897
(253) 208-7382
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
60047356
WA
314000000X
Skilled Nursing Facility
Primary
8570
OR
Other
Enumeration date
12/11/2008
Last updated
07/21/2022
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