Individual
AMANDA NICOLE PETITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20646 ALBERMARLE LN, MILLSBORO, DE 19966-7564
(609) 617-4003
Mailing address
20646 ALBERMARLE LN, MILLSBORO, DE 19966-7564
(609) 617-4003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U2-0002057
DE
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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