Individual
DONNA PETTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
102 ARBOR RD, SUMMERVILLE, SC 29485-5704
(843) 568-4786
(888) 965-4405
Mailing address
1235 ASHLEY GARDEN BLVD UNIT 1622, CHARLESTON, SC 29414-9219
(631) 339-3373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1877
NY
225X00000X
Occupational Therapist
Primary
6202
SC
Other
Enumeration date
08/20/2006
Last updated
02/09/2022
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